Dr Champaka Nagaraju, DMD | |
1050 Grape Ave, Saint Cloud, FL 34769-3965 | |
(407) 943-8600 | |
(407) 932-5153 |
Full Name | Dr Champaka Nagaraju |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 1050 Grape Ave, Saint Cloud, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659769891 | NPI | - | NPPES |
110893200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN21014 (Florida) | Primary |
Entity Name | Central Florida Family Health Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740251883 PECOS PAC ID: 3870519234 Enrollment ID: O20051015000027 |
Mailing Address | Practice Location Address |
---|---|
Dr Champaka Nagaraju, DMD 1877 Fortune Rd, Kissimmee, FL 34744-4428 Ph: (407) 943-8600 | Dr Champaka Nagaraju, DMD 1050 Grape Ave, Saint Cloud, FL 34769-3965 Ph: (407) 943-8600 |
Dr. Talita Norberto Sizemore, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1519 Jersey Ave, Saint Cloud, FL 34769 Phone: 407-873-3661 | |
Dr. Jerry Josman Karedan, DMD Dentist Medicare: Medicare Enrolled Practice Location: 4307 13th St, Saint Cloud, FL 34769 Phone: 320-227-4214 | |
Derek S Stallard, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1950 S Narcoossee Rd, Saint Cloud, FL 34771 Phone: 217-540-5100 | |
Aliuska Lopez, DMD Dentist Medicare: Medicare Enrolled Practice Location: 4039 13th St, Saint Cloud, FL 34769 Phone: 407-892-1643 | |
Laura Santos, Dentist Medicare: Not Enrolled in Medicare Practice Location: 528 Neptune Bay Cir Unit 1, Saint Cloud, FL 34769 Phone: 201-898-7327 | |
Dr. Victoria Lee Webb, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2618 13th St, Saint Cloud, FL 34769 Phone: 407-957-5344 Fax: 407-957-5473 | |
Jennifer T. Van, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2050 Old Hickory Tree Rd, Suite I, Saint Cloud, FL 34772 Phone: 407-556-3969 |