Provider Demographics
NPI:1689950941
Name:SARKER, MAHIN (DPT)
Entity Type:Individual
Prefix:MR
First Name:MAHIN
Middle Name:
Last Name:SARKER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 SW 34TH AVE
Mailing Address - Street 2:SUITE 124B
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-7448
Mailing Address - Country:US
Mailing Address - Phone:865-776-4700
Mailing Address - Fax:
Practice Address - Street 1:3300 SW 34TH AVE STE 124B
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-4438
Practice Address - Country:US
Practice Address - Phone:865-776-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-31
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034224225100000X
FLPT 27022261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy