Provider Demographics
NPI:1851389936
Name:FISHER, MAURY LIND (MD)
Entity Type:Individual
Prefix:
First Name:MAURY
Middle Name:LIND
Last Name:FISHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5115 US HIGHWAY 27 N STE 100
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-1323
Mailing Address - Country:US
Mailing Address - Phone:863-385-2222
Mailing Address - Fax:863-382-8765
Practice Address - Street 1:5115 US HIGHWAY 27 N STE 100
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-1323
Practice Address - Country:US
Practice Address - Phone:863-385-2222
Practice Address - Fax:863-382-8765
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME54287207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL593226086OtherHUMANA
FL593226086OtherDELTA QHP
FL593226086OtherUNITED HEALTHCARE
FL205902OtherAMERIGROUP
FL593226086OtherUNIVERSAL HEALTHCARE
FL5043008OtherAETNA
FL265851OtherAVMED
FL990523500OtherENVOY
FL593226086OtherCNN NETWORK
FL6450556-006OtherCIGNA
FLWELLCARE/STAYWELLOther02762
FL08549OtherBC/BS
FL200005795OtherRR MEDICARE
FL59322608633880OtherTRICARE
FL265851OtherAVMED
FLWELLCARE/STAYWELLOther02762
FL593226086OtherUNIVERSAL HEALTHCARE
FLE22534Medicare UPIN