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Organization
VASUDEVAN KIDAMBI, MD, PA
Active
Organization
VASUDEVAN KIDAMBI, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASUDEVAN ANJORE KIDAMBI M.D. (DOCTOR)
(352) 732-2900
Entity
Organization
Contact information
Practice address
3200 SW 34 AVENUE, SUITE 302, OCALA, FL 34474
(352) 732-2900
(352) 732-4430
Mailing address
P.O. BOX 3308, OCALA, FL 34478
(352) 732-2900
(352) 732-4430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0068971
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379283800
—
FL
Enumeration date
02/18/2011
Last updated
02/18/2011
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