Provider Demographics
NPI:1760474522
Name:MASTERS, EMINE CAY (MD)
Entity Type:Individual
Prefix:
First Name:EMINE CAY
Middle Name:
Last Name:MASTERS
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 1:1 EVERGREEN CIR
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32176-2310
Mailing Address - Country:US
Mailing Address - Phone:703-517-1451
Mailing Address - Fax:
Practice Address - Street 1:5 BOULDER ROCK DR
Practice Address - Street 2:SUITE D
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-8537
Practice Address - Country:US
Practice Address - Phone:386-246-2350
Practice Address - Fax:386-742-1159
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101-036914207VG0400X
FLME117733207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F03561Medicare UPIN