Maya, Ivan Dario
Maya, Ivan Dario is an individual health care provider with primary practice located at 766 N Sun Dr Suite 3030, Lake Mary FL 32746-2552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Maya, Ivan Dario can be contacted via phone (407) 444-2800.Contact Information
Primary practice address
766 N Sun Dr Suite 3030
Lake Mary FL 32746-2552
Phone: (407) 444-2800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ME107626 | Florida |
Profile Details
| NPI number | 1730111527 |
|---|---|
| LBN Legal business name | Maya, Ivan Dario |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | May 6th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730111527 | NPPES |
| Florida | MEDICAID | 002369400 |
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