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Organization
PADALA FAMILY PRACTICE, PLLC
Active
Organization
PADALA FAMILY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKSHMI NARAYANA PADALA MD (OWNER)
(352) 436-4428
Entity
Organization
Contact information
Practice address
2063 N LECANTO HWY STE 1, LECANTO, FL 34461-9675
(352) 436-4428
(352) 228-4903
Mailing address
2063 N LECANTO HWY STE 1, LECANTO, FL 34461-9675
(352) 436-4428
(352) 228-4903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14L2T
BCBS
FL
Enumeration date
07/18/2012
Last updated
10/22/2021
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