Provider Demographics
NPI:1154367142
Name:MOHAI, CARMEN DANIELA (MD)
Entity type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:DANIELA
Last Name:MOHAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8425 NORTHCLIFFE BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-1107
Mailing Address - Country:US
Mailing Address - Phone:352-688-6346
Mailing Address - Fax:352-688-9103
Practice Address - Street 1:8425 NORTHCLIFFE BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-1107
Practice Address - Country:US
Practice Address - Phone:352-688-6346
Practice Address - Fax:352-688-9103
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME76767207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00059026OtherMEDICARE RAILROAD
FLG79734Medicare UPIN
FL44512AMedicare PIN
FLP00059026OtherMEDICARE RAILROAD