Organization
CALADIUM PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANAVATTI L RAGHUVEERA MD (MEDICAL DIRECTOR)
(863) 699-5437
Entity
Organization
Contact information
Practice address
77 US HIGHWAY 27 N, LAKE PLACID, FL 33852-9571
(863) 699-5437
(863) 699-9000
Mailing address
77 US HIGHWAY 27 N, LAKE PLACID, FL 33852-9571
(863) 699-5437
(863) 699-9000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME83514
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002108800
—
FL
Enumeration date
05/16/2010
Last updated
06/25/2020
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