Organization
NAGARAKERE SHANKARAIAH MD
Active
Other names
Lake Worth Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
NAGARAKERE SHANKARAIAH MD (ADMINISTRATOR)
(561) 964-0110
Entity
Organization
Contact information
Practice address
3112 S CONGRESS AVE, STE A, PALM SPRINGS, FL 33461
(561) 964-0110
(561) 964-0401
Mailing address
3112 S CONGRESS AVE, STE A, PALM SPRINGS, FL 33461
(561) 964-0110
(561) 964-0401
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME57808
FL
Other
Enumeration date
02/06/2006
Last updated
08/22/2020
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