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Individual

PUNAM GOPAL

Active
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Individual

PUNAM GOPAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111211
FL
363A00000X
Physician Assistant

Other

Enumeration date
03/15/2018
Last updated
01/15/2025
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