Organization
AKRO GASTRO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKRAM TARUGU M.D. (OWNER)
(863) 824-3447
Entity
Organization
Contact information
Practice address
201 SW 16TH ST, OKEECHOBEE, FL 34974-6117
(863) 824-3347
(863) 824-3472
Mailing address
201 SW 16TH ST, OKEECHOBEE, FL 34974-6117
(863) 824-3347
(863) 824-3472
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME10611
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112076000
—
FL
01
—
1669836847
NPI FOR AKRO GASTRO
FL
01
—
PP930
MEDICARE PTAN
FL
Enumeration date
04/13/2016
Last updated
09/06/2024
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