Healthcare Provider Details
I. General information
NPI: 1801553912
Provider Name (Legal Business Name): BEST VALUE HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/23/2021
Last Update Date: 11/23/2021
Certification Date: 11/23/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5814 SEVEN MILE DR STE 105
WILDWOOD FL
34785-8869
US
IV. Provider business mailing address
PO BOX 25487
SARASOTA FL
34277-2487
US
V. Phone/Fax
- Phone: 352-815-5030
- Fax:
- Phone: 941-259-0926
- Fax: 855-253-4836
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RAJANKUMAR
NAIK
Title or Position: OWNER
Credential:
Phone: 561-471-9484