Organization
RS PURI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJINDER SINGH PURI M.D. (PRESIDENT)
(863) 858-7878
Entity
Organization
Contact information
Practice address
4120 US HIGHWAY 98 N STE 400, LAKELAND, FL 33809-3882
(863) 858-7878
(863) 853-7808
Mailing address
4120 US HIGHWAY 98 N STE 400, LAKELAND, FL 33809-3882
(863) 858-7878
(863) 853-7808
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME28211
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058621800
—
FL
Enumeration date
11/07/2012
Last updated
11/07/2012
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