MEDICARE: DR. MICHAEL SCOTT MAHER M.D.

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	2084P0800X	Psychiatry Physician	ME38555	FL

General Provider Information

NPI Number	:	1891914164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL SCOTT MAHER M.D.

Provider Business Mailing Address
First Line	:	508 S HABANA AVE STE 337
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4186
Country	:	US
Telephone Number	:	813-801-9100
Fax Number	:	813-801-9150

Provider Business Practice Location Address
First Line	:	508 S HABANA AVE STE 337
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4186
Country	:	US
Telephone Number	:	813-801-9100
Fax Number	:	813-801-9150

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	02/10/2021

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