FDM,PLC

Specialist · Hudson, FL

Organization Active NPI

NPI number 1144417791

Practice location

14100 Fivay Rd Ste 120
Hudson, FL 34667-7159
Phone
(727) 819-2338
Fax
(727) 819-2481

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NPI record

NPI
1144417791
Entity type
Organization (Type 2)
Enumeration date
September 27, 2007
Last updated
November 3, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X ME80055 FL

Mailing address

PO Box 2089
Tarpon Springs, FL 34688-2089
Phone
(727) 819-2338
Fax
(727) 819-2481

Authorized official

Name
Dr. Rajiva Goyal, MD
Title
CEO
Phone
(727) 819-2338

About FDM,PLC

FDM,PLC is a healthcare organization registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 14100 Fivay Rd Ste 120, Hudson, FL 34667-7159. The NPI number 1144417791 was assigned on September 27, 2007 and the record was last updated on November 3, 2011.

FDM,PLC lists a license in the registry: #ME80055 (FL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Rajiva Goyal, MD, CEO.

Frequently asked questions

What is the NPI number of FDM,PLC?

The NPI number is 1144417791.

What is the phone number of FDM,PLC?

The phone number listed for the practice location is (727) 819-2338.

Where is FDM,PLC located?

14100 Fivay Rd Ste 120, Hudson, FL 34667-7159.

What is the taxonomy code for FDM,PLC?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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