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General NPI Number Information
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NPI Number | 1477046357
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Entity Type | Individual
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Provider Name | MAYA ANTONY MD
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Gender | Female
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Dates
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Enumeration Date | 06/14/2018
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Last Update Date | 07/23/2021
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Provider Practice Location Address
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Address Line | 200 SE HOSPITAL AVE # 2346
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City | STUART
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State | FL
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Zip | 34994-2346
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Country | US
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Telephone | 772-287-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 3007 WHITEWING AVE
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City | EDINBURG
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State | TX
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Zip | 78539-3456
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Country | US
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Telephone | 956-720-2204
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME151416
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME151416
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License Number State | FL
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