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Organization
VENICE GASTROENTEROLOGY PLLC
Active
Organization
VENICE GASTROENTEROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI KONDAPALLI M.D. (OWNER)
(941) 484-3089
Entity
Organization
Contact information
Practice address
825 VENETIAN PKWY, VENICE, FL 34285-7163
(941) 484-3089
Mailing address
825 VENETIAN PKWY, VENICE, FL 34285-7163
(941) 484-3089
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0081475
FL
Other
Enumeration date
07/28/2008
Last updated
09/12/2008
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