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Organization
R K VISHEN MD P A
Active
Organization
R K VISHEN MD P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R. K. VISHEN MD (PRESIDENT)
(904) 388-3351
Entity
Organization
Contact information
Practice address
108 KINGSLEY AVE, ORANGE PARK, FL 32073-5685
(904) 388-3351
Mailing address
PO BOX 2310, ORANGE PARK, FL 32067-2310
(904) 388-3351
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/19/2006
Last updated
12/04/2013
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