Healthcare Provider Details

I. General information

NPI: 1356254098
Provider Name (Legal Business Name): RUDHRA LLA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8451 SHADE AVE STE#108
SARASOTA FL
34243-2878
US

IV. Provider business mailing address

8451 SHADE AVE STE#108
SARASOTA FL
34243-2878
US

V. Phone/Fax

Practice location:
  • Phone: 941-355-2500
  • Fax: 941-355-2511
Mailing address:
  • Phone: 941-355-2500
  • Fax: 941-355-2511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. PINAL SHAH
Title or Position: PRESIDENT
Credential:
Phone: 941-355-2500