Basic Information
Provider Information
NPI: 1427623255
EntityType: 2
ReplacementNPI:  
OrganizationName: BEST VALUE HEALTHCARE LLC
LastName:  
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Mailing Information
Address1: 407 SAINT ANDREWS DR
Address2:  
City: BELLEAIR
State: FL
PostalCode: 337561935
CountryCode: US
TelephoneNumber: 7275153624
FaxNumber: 7273923663
Practice Location
Address1: 5110 N HABANA AVE STE 2
Address2:  
City: TAMPA
State: FL
PostalCode: 336146909
CountryCode: US
TelephoneNumber: 8139159000
FaxNumber: 8139302701
Other Information
ProviderEnumerationDate: 05/24/2021
LastUpdateDate: 05/24/2021
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: NAIK
AuthorizedOfficialFirstName: RAJANKUMAR
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AuthorizedOfficialTitleorPosition: MANAGER
AuthorizedOfficialTelephone: 7274555416
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate: 05/24/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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