Basic Information
Provider Information
NPI: 1912664681
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:  
Practice Location
Address1: 4446 E FLETCHER AVE STE D
Address2:  
City: TAMPA
State: FL
PostalCode: 336134942
CountryCode: US
TelephoneNumber: 8139722976
FaxNumber: 8138667227
Other Information
ProviderEnumerationDate: 11/17/2021
LastUpdateDate: 11/17/2021
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AuthorizedOfficialLastName: NAIK
AuthorizedOfficialFirstName: RAJANKUMAR
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AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 5614719484
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 11/17/2021

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

No ID Information.


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