Individual
DR. PRIYA PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2611 S US HWY 27, CLERMONT, FL 34711-6699
(352) 717-0603
(352) 717-0604
Mailing address
2611 S US HWY 27, CLERMONT, FL 34711-6699
(352) 717-0603
(352) 717-0604
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
32647
OK
207RR0500X
Rheumatology Physician
Primary
ME144273
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109171000
—
FL
Enumeration date
12/26/2012
Last updated
11/14/2024
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