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General NPI Number Information
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NPI Number | 1063905925
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Entity Type | Organization
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Legal Business Name | FLORIDA MED-PSYCH CONSULTANTS LLC
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Dates
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Enumeration Date | 06/14/2018
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 1507 S HIAWASSEE RD STE 206
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City | ORLANDO
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State | FL
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Zip | 32835-5719
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Country | US
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Telephone | 407-445-9545
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 117780
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City | ATLANTA
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State | GA
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Zip | 30368-7780
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Country | US
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Telephone | 407-445-9545
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Fax | 407-299-9141
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Authorized Official
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Title or Position | MGR
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Name | DR. RAVI P AKELLA
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Credential | MD
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Telephone | 407-445-9545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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