MEDICARE: DR. VAISHALI P. LADDU A.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	3027	FL

General Provider Information

NPI Number	:	1235483876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VAISHALI P. LADDU A.P.

Provider Business Mailing Address
First Line	:	7575 DR PHILLIPS BLVD STE 120
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-7221
Country	:	US
Telephone Number	:	407-730-9492
Fax Number	:

Provider Business Practice Location Address
First Line	:	7575 DR PHILLIPS BLVD STE 120
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-7221
Country	:	US
Telephone Number	:	407-730-9492
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2012
Last Update Date	:	11/05/2012

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