Organization
PRABHAKAR PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ PRABHAKAR DPM (OWNER)
(786) 300-8840
Entity
Organization
Contact information
Practice address
6020 NW 38TH ST, VIRGINIA GARDENS, FL 33166-7007
(786) 300-8840
Mailing address
6020 NW 38TH ST, VIRGINIA GARDENS, FL 33166-7007
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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