Provider Demographics
NPI:1518977289
Name:INDAR, LOKIE N (MD)
Entity Type:Individual
Prefix:
First Name:LOKIE
Middle Name:N
Last Name:INDAR
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:37900 DAUGHTERY ROAD
Mailing Address - Street 2:BAY AREA MEDICAL CLINIC P.A.
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33541
Mailing Address - Country:US
Mailing Address - Phone:813-715-4446
Mailing Address - Fax:813-780-7786
Practice Address - Street 1:37900 DAUGHTERY ROAD
Practice Address - Street 2:BAY AREA MEDICAL CLINIC P.A.
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33541
Practice Address - Country:US
Practice Address - Phone:813-715-4446
Practice Address - Fax:813-780-7786
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0070110207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL32996UMedicare UPIN