Vijaya Laxmi Telu | Orlando, FL • PECOS Search

Vijaya Laxmi Telu

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

100 North Dean Rd Suite 101, Orlando, FL 32825

(407) 384-7388 (407) 456-1338

PECOS Enrollment

Based on the most recent information from CMS, provider Vijaya Laxmi Telu does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:51 AM.

Profile Details

Provider ID
1336636075
Provider Type
Individual
Full Name
Telu, Vijaya Laxmi
Title
Mrs.
Credential
ARNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/18/2018
Last Updated
4/18/2018

Contact Information

Practice Location

100 North Dean Rd Suite 101, Orlando, FL 32825

Unlisted Fax

Mailing Location

3521, Lake Jean Dr, Orlando, FL 32817

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9249630 Florida