Individual
MRS. SUJATHA KAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14015 EGRET TOWER DRIVE, ORLANDO, FL 32837-6197
(407) 447-7100
(407) 447-6100
Mailing address
14015 EGRET TOWER DRIVE, ORLANDO, FL 32837-6197
(407) 447-7100
(407) 447-6100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME94340
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1391688
GHI
—
05
—
274203900
—
FL
01
—
28846
BCBS
FL
01
—
4130558
AETNA
FL
Enumeration date
03/14/2006
Last updated
03/24/2023
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