Individual
MRS. AJI VALAYIL ACHUTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1741 DAVID WALKER DR, TAVARES, FL 32778-5745
(352) 742-3578
(352) 742-3581
Mailing address
3090 CARUSO CT STE 50, ORLANDO, FL 32806-8510
(407) 481-7179
(407) 481-7190
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9241888
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016521900
—
FL
Enumeration date
10/13/2015
Last updated
03/17/2018
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