Organization
MURALI M ANGIREKULA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN LYNNE PHILLIPS R.N (OFFICE MANAGER)
(352) 527-2500
Entity
Organization
Contact information
Practice address
4065 N LECANTO HWY, SUITE 100, BEVERLY HILLS, FL 34465-3555
(352) 527-2500
Mailing address
4065 N LECANTO HWY, SUITE 100, BEVERLY HILLS, FL 34465-3555
(352) 527-2500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME72836
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21026
BLUE CROSS BLUE SHIEDL
FL
05
—
252044300
—
FL
Enumeration date
05/28/2008
Last updated
02/11/2009
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