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Organization
MEDROCK, P.A.
Active
Organization
MEDROCK, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANURAG S. KUSHAWAHA M.D. (OWNER)
(718) 213-6136
Entity
Organization
Contact information
Practice address
3365 BALTIC DR, NAPLES, FL 34119-8680
(718) 213-6136
Mailing address
3365 BALTIC DR, NAPLES, FL 34119-8680
(718) 213-6136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 109471
FL
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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