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Individual
DR. PRASANTH GOGINENI
Active
Individual
DR. PRASANTH GOGINENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME131492
FL
207R00000X
Internal Medicine Physician
Primary
ME131492
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME131492
MEDICAL LICENSE
FL
Enumeration date
09/20/2006
Last updated
03/19/2024
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