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Organization
SUMA & DURGA PA
Active
Organization
SUMA & DURGA PA
Active
Other names
Advanced Health Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DURGA MAGANTI MD (PRESIDENT)
(863) 968-3634
Entity
Organization
Contact information
Practice address
2243 NORTH BLVD W, DAVENPORT, FL 33837-8990
(863) 353-1394
(863) 638-5722
Mailing address
4693 MANDOLIN LOOP, WINTER HAVEN, FL 33884-3599
(863) 353-1394
(863) 638-5722
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 96502
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1411835
AETNA
—
05
—
277037700
—
FL
01
—
5764074
CIGNA
—
01
—
68856
BCBS OF FL
FL
01
—
N379567
WELLCARE
—
Enumeration date
03/02/2010
Last updated
08/12/2013
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