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Organization
V. RAO EMANDI MD PA
Active
Organization
V. RAO EMANDI MD PA
Active
Other names
CANCER CARE CENTERS OF FLORIDA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VENKATA RAO EMANDI M.D. (MEDICAL DIRECTOR)
(727) 862-5489
Entity
Organization
Contact information
Practice address
13904 LAKESHORE BLVD, STE 410, HUDSON, FL 34667-1481
(727) 862-5489
(727) 862-0397
Mailing address
13904 LAKESHORE BLVD, STE 410, HUDSON, FL 34667-1481
(727) 862-5489
(727) 862-0397
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378675700
—
FL
Enumeration date
09/24/2007
Last updated
02/12/2013
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