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NPI Code Detail

MEDICARE: DR. PINAK PRADIP RAODEO

MEDICARE: DR. PINAK PRADIP RAODEO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramTRN45134FL

General Provider Information

NPI Number : 1265258230
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PINAK PRADIP RAODEO
Provider Business Mailing Address
First Line : 200 AVENUE F NE
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33881-4193
Country : US
Telephone Number : 863-280-6080
Fax Number :
Provider Business Practice Location Address
First Line : 200 AVENUE F NE
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33881-4193
Country : US
Telephone Number : 678-206-1915
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2024
Last Update Date : 06/16/2026

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Directions to “ DR. PINAK PRADIP RAODEO ” Practice Location

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