Healthcare Provider Details

I. General information

NPI: 1821109786
Provider Name (Legal Business Name): PRADEEP K NAROTAM M.D., FACS., PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2323 CURLEW RD STE 6B
DUNEDIN FL
34698-9307
US

IV. Provider business mailing address

2323 CURLEW RD STE 6B
DUNEDIN FL
34698-9307
US

V. Phone/Fax

Practice location:
  • Phone: 727-332-6221
  • Fax: 727-470-9641
Mailing address:
  • Phone: 727-332-9024
  • Fax: 727-470-9684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberME146515
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number036.139412
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberME146515
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberME146515
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: