# RAGHU V DEVABHAKTUNI MDPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750667416
- **Authorized official:** DR. RAGHU V DEVABHAKTUNI MD (MD)
- **Authorized official phone:** (727) 869-3227

## Contact information

- **Practice address:** 13908 LAKESHORE BLVD, SUITE 210, HUDSON, FL 34667-1492
- **Practice address phone:** (727) 869-3227
- **Mailing address:** 13908 LAKESHORE BLVD, SUITE 210, HUDSON, FL 34667-1492
- **Mailing address phone:** (727) 869-3227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME 61245 | FL | Yes |

## Other

- **Enumeration date:** 10/26/2011
- **Last updated:** 10/26/2011