Individual
DR. RAJESWARI S SONNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1354 STATE ROAD 60 E, LAKE WALES, FL 33853-4322
(863) 382-0566
(863) 471-9340
Mailing address
1354 STATE ROAD 60 E, LAKE WALES, FL 33853-4322
(863) 382-0566
(863) 471-9340
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME33065
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066920200
—
FL
01
—
28112
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
05/26/2006
Last updated
12/10/2012
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