Provider Demographics
NPI:1518271436
Name:KAROVSKA VUCHIDOLOV, ANA (MD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:KAROVSKA VUCHIDOLOV
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 1:33049 PROFESSIONAL DR
Mailing Address - Street 2:STE 103
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34788-3705
Mailing Address - Country:US
Mailing Address - Phone:352-259-2159
Mailing Address - Fax:352-259-5731
Practice Address - Street 1:33049 PROFESSIONAL DR
Practice Address - Street 2:STE 103
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34788-3705
Practice Address - Country:US
Practice Address - Phone:352-365-1224
Practice Address - Fax:352-365-1224
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME116096207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103480600Medicaid
FLHJ945YMedicare UPIN