NPI 1750520458

M Kalakota MD PA

Organisation Exclusive Provider Organization Kissimmee, FL

Practice location

Address: 1920 N Central Ave, Kissimmee, FL 34741-2331
Phone: (407) 931-2991
Fax: (407) 933-4699

Authorised official

Name: Madhusudana R Kalakota
Title: President
Phone: (407) 931-2991

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence ME0061078 (FL)

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Registry record

NPI: 1750520458
Entity type: Organization
NPI issued: 19 Feb 2009
Record last updated: 5 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.