Healthcare Provider Details

I. General information

NPI: 1538419213
Provider Name (Legal Business Name): M. AKEL, MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2012
Last Update Date: 09/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5433 COMMERCIAL WAY
SPRING HILL FL
34606-1110
US

IV. Provider business mailing address

5433 COMMERCIAL WAY
SPRING HILL FL
34606-1110
US

V. Phone/Fax

Practice location:
  • Phone: 352-596-3367
  • Fax: 352-596-7700
Mailing address:
  • Phone: 352-596-3367
  • Fax: 352-596-7700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATHE WALKER
Title or Position: OFFICE MANAGER
Credential:
Phone: 352-596-3367