| Organization Name: | MEDICAL ASSOCIATES OF CENTRAL FLORIDA |
| NPI Number: | 1235432543 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAHESH GANDI ALLAM (PRESIDENT) |
| Mailing Address: | 31810 Hwy 27 Haines City |
| State: | FL US |
| Postal Code: | 338447617 |
| Phone Number: | 8634399775 |
| Fax Number: | 8634390066 |
| NPI Enumeration Date: | 12/08/2010 |
| NPI Last Update Date: | 12/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP2832442 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |