Provider Demographics
NPI:1215944939
Name:AYOUBI, MAHER M (MD)
Entity type:Individual
Prefix:DR
First Name:MAHER
Middle Name:M
Last Name:AYOUBI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:38135 MARKET SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-7505
Mailing Address - Country:US
Mailing Address - Phone:813-932-6106
Mailing Address - Fax:813-915-0902
Practice Address - Street 1:2727 W DR MARTIN LUTHER KING JR BLVD STE 300
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6003
Practice Address - Country:US
Practice Address - Phone:813-932-6106
Practice Address - Fax:813-915-0902
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0064935207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL373518400Medicaid
FL060021598OtherRAIL ROAD MEDICARE FL
FL23299OtherBCBS OF FLORIDA
FLK1187OtherMEDICARE BILLING NUMBER
FLK1187OtherMEDICARE BILLING NUMBER
FL060021598OtherRAIL ROAD MEDICARE FL
FLK1187OtherMEDICARE BILLING NUMBER
FL23299ZMedicare PIN