Individual
LAKSHMI BOYAPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 PINNACLES DR STE 700, PALM COAST, FL 32164-2915
(386) 387-8500
(386) 387-8511
Mailing address
7015 A C SKINNER PKWY STE 1, JACKSONVILLE, FL 32256-6932
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME159111
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118995000
—
FL
01
—
PWXEW
FL BLUE
FL
01
—
RD498
MEDICARE
FL
01
—
RD506
MEDICARE
FL
Enumeration date
04/07/2016
Last updated
08/16/2023
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