Individual
JAVALIKA GADHIA RAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1414 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 405-0707
(407) 654-2682
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA 9102156
FL
363A00000X
Physician Assistant
Primary
PA9102156
FL
Other
Enumeration date
06/09/2006
Last updated
09/29/2021
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