Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | ME126324 | FL |
NPI | 1013262708 |
---|---|
Provider Name | Dr. Michael Ahuja |
First Address | Lutz, FL 33558-8201 |
Second Address | Brooksville, FL 34613-2628 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2012 |
Last Update Date | 25/09/2018 |