Individual
VINAYAK V PURANDARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 MEMORIAL MEDICAL PARKWAY, SUITE 507, DAYTONA BEACH, FL 32117
(386) 672-8595
(386) 677-4987
Mailing address
305 MEMORIAL MEDICAL PARKWAY, SUITE 507, DAYTONA BEACH, FL 32117
(386) 672-8595
(386) 677-4987
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
207RN0300X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048136000
—
FL
Enumeration date
10/03/2005
Last updated
04/19/2013
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