Organization
AMARAVADI & AMARAVADI MD PA
Active
Other names
AMAR & AMAR MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
SIVAKUMAR V AMARAVADI MD (MD)
(727) 375-0848
Entity
Organization
Contact information
Practice address
3535 LITTLE ROAD, TRINITY, FL 34655-1811
(727) 375-0848
(727) 375-5548
Mailing address
3535 LITTLE ROAD, TRINITY, FL 34655-1811
(727) 375-0848
(727) 375-5548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
038311
FL
207RP1001X
Pulmonary Disease Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21719
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/20/2005
Last updated
04/20/2008
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