| Abmayor Llc | |
|
6400 Edgelake Dr Sarasota FL 34240-8813 | |
| (941) 921-8600 | |
| Not Available |
| Full Name | Abmayor Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6400 Edgelake Dr, Sarasota, Florida |
| Authorized Official Name and Position | Ajay Mayor (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6185281244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abmayor Llc 5881 Anise Dr Sarasota FL 34238-5143 Ph: (618) 528-1244 | Abmayor Llc 6400 Edgelake Dr Sarasota FL 34240-8813 Ph: (941) 921-8600 |
| NPI Number | 1508436882 |
|---|---|
| Provider Enumeration Date | 06/29/2021 |
| Last Update Date | 06/29/2021 |
| Certification Date | 06/29/2021 |
| Medicare PECOS PAC ID | 5890187454 |
|---|---|
| Medicare Enrollment ID | O20220112001076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508436882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ajay Mayor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023060100 PECOS PAC ID: 8820058480 Enrollment ID: I20121001000142 |
| Provider Name | Nafisa Nathani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255845921 PECOS PAC ID: 9537428404 Enrollment ID: I20180123000302 |
| Provider Name | Lori-ann T Luer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194284737 PECOS PAC ID: 8729321211 Enrollment ID: I20190524001798 |
| Provider Name | Ashley Marie Belville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538864004 PECOS PAC ID: 7113383944 Enrollment ID: I20230519001528 |
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