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:
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Health care specialties

SpecialtyCodeLicense #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 4 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730111527 NPPES
Florida MEDICAID 002369400

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