Individual
DR. RAJ LARRY PRABHAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4889 S CONGRESS AVE STE 201, PALM SPRINGS, FL 33461-4764
(561) 360-2340
(561) 516-6630
Mailing address
15815 SHADDOCK DR STE 130, WINTER GARDEN, FL 34787-5773
(407) 605-2321
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO4332
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO4332
FL
Other
Enumeration date
10/22/2020
Last updated
03/10/2025
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