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Organization

WEST FLORIDA MEDICAL ASSOCIATES, PA

Active
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Organization

WEST FLORIDA MEDICAL ASSOCIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VENKATREDDY ALUGUBELLI M.D. (PHYDICAN)
(352) 746-1515
Entity
Organization

Contact information

Practice address
511 W HIGHLAND AVE., INVERNESS, FL 34450
(352) 746-1515
(352) 746-7767
Mailing address
PO BOX 640573, BEVERLY HILLS, FL 34464-0573
(352) 746-1558
(352) 746-3838

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
ME55207
FL
207R00000X
Internal Medicine Physician
Primary
ME55207
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037515200
FL
Enumeration date
03/20/2009
Last updated
03/20/2009
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