| Dr Venkata R Pothuraju, MD | |
|
4930 E Lake Mary Blvd, Sanford, FL 32771-5003 | |
| (407) 322-8645 | |
| (407) 330-5074 |
| Full Name | Dr Venkata R Pothuraju |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 4930 E Lake Mary Blvd, Sanford, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194843763 | NPI | - | NPPES |
| 000998900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME103700 (Florida) | Primary |
| Entity Name | Central Florida Family Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740251883 PECOS PAC ID: 3870519234 Enrollment ID: O20051015000027 |
| Entity Name | Solantic/south Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851344378 PECOS PAC ID: 5496762171 Enrollment ID: O20060321000740 |
| Entity Name | Solantic Of Jacksonville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407893100 PECOS PAC ID: 1052409307 Enrollment ID: O20071120000271 |
| Entity Name | Hma-solantic Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689812109 PECOS PAC ID: 6002955788 Enrollment ID: O20091209000716 |
| Entity Name | Shands-solantic Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558595223 PECOS PAC ID: 4183764178 Enrollment ID: O20091223000343 |
| Entity Name | Carespot Of Orlando Hsi Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306367503 PECOS PAC ID: 8921372558 Enrollment ID: O20170921000186 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Venkata R Pothuraju, MD 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 Ph: (407) 322-8645 | Dr Venkata R Pothuraju, MD 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 Ph: (407) 322-8645 |
Dr. Daniel R Bieda, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4930 E Lake Mary Blvd, Sanford, FL 32771 Phone: 407-322-8645 Fax: 407-322-8725 | |
Seth Winterton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2209 S French Ave, Sanford, FL 32771 Phone: 407-321-4230 Fax: 407-324-7642 | |
Michael Andrew Sparks, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 920 Lexington Green Ln, Sanford, FL 32771 Phone: 407-392-1058 Fax: 407-391-1053 | |
Dr. Leidee Karenna Senors, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4930 E Lake Mary Blvd, Sanford, FL 32771 Phone: 407-322-8645 Fax: 407-956-4334 | |
Dr. Chhavi Rai, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4932 W State Road 46 Ste 1090, Sanford, FL 32771 Phone: 407-635-3330 Fax: 407-636-7845 | |
Jennifer Fertil Simpkins, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4930 E Lake Mary Blvd, Sanford, FL 32771 Phone: 407-322-8645 Fax: 407-646-7747 |