Maika Healthcare, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME90850 Issued in FL

Legal business name

MAIKA HEALTHCARE, LLC

Practice address

7552 Navarre Pkwy
Suite # 13
Navarre, FL 32566-7305

Phone

(850) 939-9876

Fax

(850) 939-9877

NPI assigned

Jul 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tien Mark Duc Tran, M.D.

Title

Sole Officer

Phone

(850) 939-9876

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1033143045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7552 NAVARRE PKWY",
            "address_2": "SUITE # 13",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667305",
            "telephone_number": "850-939-9876",
            "fax_number": "850-939-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7552 NAVARRE PKWY",
            "address_2": "SUITE # 13",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667305",
            "telephone_number": "850-939-9876",
            "fax_number": "850-939-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIKA HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TIEN MARK",
        "authorized_official_middle_name": "DUC",
        "authorized_official_title_or_position": "SOLE OFFICER",
        "authorized_official_telephone_number": "850-939-9876",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME90850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271356000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER",
            "identifier": "U3213Y",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Londo, LMHC
• Patricia Augusta Long, M.S.ED, ATC, CSCS
• Harold E Love, LMHC, PH.D.
• Latoya Loveless-Knox, CERTIFIED HAIR LOSS
• Amber Candice Mackenzie, LCAQ
• Meghan Majeski, PT, DPT
• Stephenie Ann Malan, LMHC
• Samantha Mann
• Nathalie Manners
• George Edward Marcus III, PA

• Internal Medicine Physician in Navarre, FL
• Providers in Navarre, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.