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Individual

MR. ANIL ITHIKKAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DR

Contact information

Practice address
4115 NW 16TH BLVD, GAINESVILLE, FL 32605-3505
(352) 336-3745
(352) 275-5396
Mailing address
4115 NW 16TH BLVD, GAINESVILLE, FL 32605-3505
(352) 336-3745
(352) 275-5396

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS35924
FL

Other

Enumeration date
08/19/2014
Last updated
08/19/2014
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