MEDICARE: ASHISH SANON MD PA

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	207W00000X	Ophthalmology Physician	ME 76594	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154427326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHISH SANON MD PA

Provider Business Mailing Address
First Line	:	PO BOX 640820
Second Line	:
City	:	BEVERLY HILLS
State	:	FL
Zip	:	34464
Country	:	US
Telephone Number	:	352-613-8059
Fax Number	:	352-746-9930

Provider Business Practice Location Address
First Line	:	3402 N LECANTO HWY
Second Line	:	SUITE A
City	:	BEVERLY HILLS
State	:	FL
Zip	:	34465-3570
Country	:	US
Telephone Number	:	352-613-8059
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	ASHISH SANON
Credential	:
Telephone Number	:	352-613-8059

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	06/11/2013

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Directions to “ASHISH SANON MD PA ” Practice Location

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