Healthcare Provider Details

I. General information

NPI: 1447488978
Provider Name (Legal Business Name): SANGEETA HANS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2009
Last Update Date: 05/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13940 N US HIGHWAY 441 BLDG 100 SUITE 102
LADY LAKE FL
32159-8908
US

IV. Provider business mailing address

PO BOX 4590
OCALA FL
34478-4590
US

V. Phone/Fax

Practice location:
  • Phone: 352-751-9900
  • Fax: 352-350-2014
Mailing address:
  • Phone: 352-509-9900
  • Fax: 352-351-0295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberLL31787
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME113482
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: