Dr. Dantuluri P Raju
Family Doctor - Adult Medicine
2840 Se 3rd Ct Ste 100
Ocala
, Florida 34471-0480
Dr. Dantuluri P Raju
Family Doctor - Adult Medicine
2840 Se 3rd Ct Ste 100
Ocala
, Florida 34471-0480
(877) 856-3774
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Dantuluri P Raju
- 2675 Winkler Ave Fl 2
- Fort Myers, FL
- Zip : 33901-9342
- Phone : (877) 856-3774
Second Address
- Dr. Dantuluri P Raju
- 2840 Se 3rd Ct Ste 100
- Ocala, FL
- Zip : 34471-0480
- Fax : (352) 622-1929
- Phone : (352) 622-1777
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 34166 | FL |
National Provider Identifier
| NPI | 1053316133 |
|---|---|
| Provider Name | Dr. Dantuluri P Raju |
| First Address | Fort Myers, FL 33901-9342 |
| Second Address | Ocala, FL 34471-0480 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2005 |
| Last Update Date | 27/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000462200 | (05) | FL |
| 039223500 | (05) | FL |
| 42139 | BCBS (01) | FL |
| D85729 | (02) | FL |
| JQ057 | MEDICARE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.