Individual
MOHAN NARAYANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.A.
Contact information
Practice address
810 N MILLS AVE, ARCADIA, FL 34266-8780
(863) 494-5909
(863) 494-0539
Mailing address
PO BOX 548, ARCADIA, FL 34265-0548
(863) 494-5909
(863) 494-0539
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME27048
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057934300
—
FL
01
—
407111115
RAILROAD MEDICARE
FL
01
—
78901
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/28/2005
Last updated
09/10/2010
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