Dr Jagdeep Singh Pruthi, MD | |
25103 Hwy 27, Lake Wales, FL 33859-6843 | |
(863) 734-0344 | |
Not Available |
Full Name | Dr Jagdeep Singh Pruthi |
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Gender | Male |
Speciality | Pediatrics |
Location | 25103 Hwy 27, Lake Wales, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609018183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME104073 (Florida) | Primary |
Entity Name | Sunrise Pediatrics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891939989 PECOS PAC ID: 4385795087 Enrollment ID: O20090619000020 |
Mailing Address | Practice Location Address |
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Dr Jagdeep Singh Pruthi, MD 25103 Hwy 27, Lake Wales, FL 33859-6843 Ph: (863) 734-0344 | Dr Jagdeep Singh Pruthi, MD 25103 Hwy 27, Lake Wales, FL 33859-6843 Ph: (863) 734-0344 |
Heather Wardy, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 305 W Central Ave, Lake Wales, FL 33853 Phone: 866-234-8534 | |
Maria Claudia Solorzano, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1110 Druid Cir Ste A, Lake Wales, FL 33853 Phone: 863-676-8935 Fax: 863-679-2691 | |
Dr. Lee Wichner Edelstein, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 305 W Central Ave, Lake Wales, FL 33853 Phone: 866-234-8534 | |
Marcela Jativa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1356 State Road 60 E, Lake Wales, FL 33853 Phone: 863-679-8888 | |
Dr. Rajeswari S Sonni, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1354 State Road 60 E, Lake Wales, FL 33853 Phone: 863-382-0566 Fax: 863-471-9340 | |
Dr. Richard Keith Bachman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 540 Greenway Dr, Lake Wales, FL 33898 Phone: 863-676-8460 |