Individual
VATSALA S SASTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15435 CORTEZ BLVD, BROOKSVILLE, FL 34613-6113
(352) 799-2294
(352) 796-8196
Mailing address
15435 CORTEZ BLVD, BROOKSVILLE, FL 34613-6113
(352) 799-2294
(352) 796-8196
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME68115
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377455402
—
FL
Enumeration date
08/16/2005
Last updated
12/19/2011
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