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Organization
VIKRAMBEHERALLC
Active
Organization
VIKRAMBEHERALLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY PAYNE (ADMIN)
(904) 387-4778
Entity
Organization
Contact information
Practice address
801 OAK ST, GREEN COVE SPRINGS, FL 32043-4317
(904) 284-9230
Mailing address
84 WATERLINE DR, ST JOHNS, FL 32259-2311
(212) 767-9891
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
04/04/2022
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