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Organization
PATHMED ASSOCIATES LLC
Active
Organization
PATHMED ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE KURUVILLA MD (DIRECTOR)
(561) 251-4265
Entity
Organization
Contact information
Practice address
5301 S CONGRESS AVE, ATLANTIS, FL 33462-1149
(561) 251-4265
Mailing address
DEPT AT 952369, ATLANTA, GA 31192-2369
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
ME61952
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME61952
FL
Other
Enumeration date
11/13/2006
Last updated
09/17/2007
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