MEDICARE: NEETA HARSHAVARDHAN MAUSKAR PA-C

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	363A00000X	Physician Assistant	PA9111154	FL
2	207R00000X	Internal Medicine Physician	PA9111154	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	:	1609378728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEETA HARSHAVARDHAN MAUSKAR PA-C

Provider Business Mailing Address
First Line	:	18550 US HIGHWAY 441
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-6751
Country	:	US
Telephone Number	:	352-735-3755
Fax Number	:	352-735-3151

Provider Business Practice Location Address
First Line	:	18550 US HIGHWAY 441
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757
Country	:	US
Telephone Number	:	352-735-3755
Fax Number	:	352-735-3151

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

Provider Enumeration Date	:	03/05/2018
Last Update Date	:	03/03/2026

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Directions to “ NEETA HARSHAVARDHAN MAUSKAR PA-C” Practice Location

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