MEDICARE: MAI ENDOCRINOLOGY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number	:	1891637344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAI ENDOCRINOLOGY PLLC

Provider Business Mailing Address
First Line	:	6938 W LINEBAUGH AVE STE 101
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33625-5824
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6938 W LINEBAUGH AVE STE 101
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33625-5824
Country	:	US
Telephone Number	:	832-209-0000
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MO MAI
Credential	:	MD
Telephone Number	:	832-209-0000

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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