Basic Information
Provider Information
NPI: 1619636412
EntityType: 2
ReplacementNPI:  
OrganizationName: BEST VALUE HEALTHCARE LLC
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Mailing Information
Address1: PO BOX 25487
Address2:  
City: SARASOTA
State: FL
PostalCode: 342772487
CountryCode: US
TelephoneNumber: 9412590926
FaxNumber: 8552534836
Practice Location
Address1: 1530 CELEBRATION BLVD STE 407
Address2:  
City: CELEBRATION
State: FL
PostalCode: 347475165
CountryCode: US
TelephoneNumber: 3219394137
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/09/2021
LastUpdateDate: 12/09/2021
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: NAIK
AuthorizedOfficialFirstName: RAJANKUMAR
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AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 5614719484
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 12/09/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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