Basic Information
Provider Information
NPI: 1447488978
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HANS
FirstName: SANGEETA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 4590
Address2:  
City: OCALA
State: FL
PostalCode: 344784590
CountryCode: US
TelephoneNumber: 3525099900
FaxNumber: 3523510295
Practice Location
Address1: 13940 N US HIGHWAY 441
Address2: BLDG 100 SUITE 102
City: LADY LAKE
State: FL
PostalCode: 321598908
CountryCode: US
TelephoneNumber: 3527519900
FaxNumber: 3523502014
Other Information
ProviderEnumerationDate: 06/23/2009
LastUpdateDate: 05/05/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XLL31787SCN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XME113482FLY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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