Individual
JAYANTH G RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3406 N LECANTO HWY., SUITE A, BEVERLY HILLS, FL 34465-3548
(352) 746-1100
(352) 422-7023
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME 65465
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103495
AVMED
FL
01
—
2486569
CIGNA
FL
01
—
25903
BCBS OF FL
FL
05
—
346441900
—
FL
01
—
5002104
AETNA
FL
01
—
937635
WELLCARE
FL
01
—
P00056
FREEDOM HEALTH
FL
01
—
P00909691
RR MEDICARE
FL
01
—
P01254190
RAILROAD MCR
FL
01
—
P201226
OPTIMUM
FL
05
—
P502641
—
FL
Enumeration date
09/20/2005
Last updated
05/13/2016
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