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Organization
TREASURE COAST DIAGNOSTICS LLC
Active
Organization
TREASURE COAST DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASAD CHALASANI MD (OFFICER)
(772) 335-1122
Entity
Organization
Contact information
Practice address
1801 SE HILLMOOR DR, C209, PORT ST LUCIE, FL 34952-7553
(772) 335-1122
(772) 335-0023
Mailing address
1801 SE HILLMOOR DR, C209, PORT ST LUCIE, FL 34952-7553
(772) 335-1122
(772) 335-0023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
117-303-05-1010575
FL
Other
Enumeration date
04/10/2007
Last updated
04/20/2008
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