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Individual
PONNILA SRINIVASAN
Active
Individual
PONNILA SRINIVASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
9244465
FL
363L00000X
Nurse Practitioner
Primary
APRN11004485
FL
Other
Enumeration date
01/07/2020
Last updated
06/05/2025
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