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General NPI Number Information
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NPI Number | 1891609319
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Entity Type | Organization
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Legal Business Name | ELITE RHEUMATOLOGY PLLC
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 1727 ORLANDO CENTRAL PKWY
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City | ORLANDO
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State | FL
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Zip | 32809-5732
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Country | US
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Telephone | 407-888-5980
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Fax | 407-888-2492
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Provider Business Mailing Address
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Address Line | 14194 LANIKAI BEACH DR
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City | ORLANDO
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State | FL
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Zip | 32827-8017
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Country | US
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Telephone | 407-888-5980
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Fax | 407-888-2492
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Authorized Official
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Title or Position | OWNER
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Name | SUMALATHA NANDIKONDA
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Credential | MD
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Telephone | 269-267-3569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State | NULL
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