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Organization
NULIFE MEDICAL GROUP LLC
Active
Organization
NULIFE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENKATA JAYAPRATAP BIREDDY MD (MANAGER)
(813) 465-9999
Entity
Organization
Contact information
Practice address
502 S MACDILL AVE, TAMPA, FL 33609-3039
(813) 465-9999
Mailing address
502 S MACDILL AVE, TAMPA, FL 33609-3039
(813) 465-9999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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