| Organization Name: | MAYA DIAGNOSTIC IMAGING, LLC |
| NPI Number: | 1215347299 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD JEFFERY SAPP (PRESIDENT) |
| Mailing Address: | 294 Patterson Rd Ste B Haines City |
| State: | FL US |
| Postal Code: | 338446263 |
| Phone Number: | 8634387465 |
| Fax Number: | 8634387466 |
| NPI Enumeration Date: | 04/30/2014 |
| NPI Last Update Date: | 07/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |