| Take a Leap, Inc | |
|
13521 Bellaria Cir Windermere FL 34786-7403 | |
| (248) 830-3730 | |
| Not Available |
| Full Name | Take a Leap, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13521 Bellaria Cir, Windermere, Florida |
| Authorized Official Name and Position | Shreyas Shakhamoori (CEO) |
| Authorized Official Contact | 2488303730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Take a Leap, Inc 13521 Bellaria Cir Windermere FL 34786-7403 Ph: (480) 323-5852 | Take a Leap, Inc 13521 Bellaria Cir Windermere FL 34786-7403 Ph: (248) 830-3730 |
| NPI Number | 1235023888 |
|---|---|
| Provider Enumeration Date | 06/06/2025 |
| Last Update Date | 06/06/2025 |
| Certification Date | 06/06/2025 |
| Medicare PECOS PAC ID | 6204341647 |
|---|---|
| Medicare Enrollment ID | O20250715000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235023888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | () | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | () | Secondary |
| Provider Name | Bhaskar N Raju |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558397620 PECOS PAC ID: 7810934957 Enrollment ID: I20050411001041 |
| Provider Name | Jose Alberto Giron |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265619266 PECOS PAC ID: 5294739454 Enrollment ID: I20100726000228 |
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