MEDICAID PROVIDERS NETWORK, LLC – Exclusive Provider Organization, NPI 1710325709

MEDICAID PROVIDERS NETWORK, LLC is a healthcare provider. based in Lake mary, Florida. specializing in Exclusive Provider Organization. The organization holds a License No. ME85696 (FL). The NPI Number for MEDICAID PROVIDERS NETWORK, LLC is 1710325709

Main info

Organization
Name
MEDICAID PROVIDERS NETWORK, LLC
NPI
1710325709
Phone
(407) 921-2074
Address
PO BOX 951659
Authorized Official
JASVENDAR SINGH NANDRA CEO M.D.
Enumeration Date
12 June 2013
Last Update Date
12 June 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for MEDICAID PROVIDERS NETWORK, LLC

  • PO BOX 951659

    LAKE MARY, FL 327951659

    Phone: (407) 921-2074

    Fax: (407) 264-8686

    Type: Mailing

  • 2840 N HIAWASSEE RD

    428

    ORLANDO, FL 328183319

    Phone: (407) 921-2074

    Fax: (407) 264-8686

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32795)

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Reviews

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Frequently asked questions

What federal number belongs to MEDICAID PROVIDERS NETWORK, LLC?
The federal identifier for MEDICAID PROVIDERS NETWORK, LLC is NPI 1710325709.
Is MEDICAID PROVIDERS NETWORK, LLC active in the national directory?
MEDICAID PROVIDERS NETWORK, LLC's public NPI profile is in an active state.
Can you summarize MEDICAID PROVIDERS NETWORK, LLC's specialty in plain language?
Clinically, the directory lists MEDICAID PROVIDERS NETWORK, LLC with Exclusive Provider Organization. Clinical services aligned with this taxonomy classification.
What location metadata exists for MEDICAID PROVIDERS NETWORK, LLC?
The page summarizes Lake Mary, Florida for MEDICAID PROVIDERS NETWORK, LLC; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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