Organization
ARUN K. PENUKONDA, M.D., F.R.C.S., P.A..
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARUN K PENUKONDA M.D. (PRESIDENT)
(239) 574-4110
Entity
Organization
Contact information
Practice address
323 DEL PRADO BLVD. S., SUITE 100, CAPE CORAL, FL 33990
(239) 574-4110
(239) 574-5897
Mailing address
323 DEL PRADO BLVD. S., SUITE 100, CAPE CORAL, FL 33990
(239) 574-4110
(239) 574-5897
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0062366
FL
2086S0129X
Vascular Surgery Physician
ME0062366
FL
Other
Enumeration date
05/21/2010
Last updated
12/16/2011
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