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Individual

VIVEKANANDA GONUGUNTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD.,

Contact information

Practice address
89 W COPELAND DR, ORLANDO, FL 32806-2002
(321) 841-7550
(321) 841-8185
Mailing address
89 W COPELAND DR, ORLANDO, FL 32806-2002
(321) 841-7550
(321) 841-8185

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
53324
WI
207T00000X
Neurological Surgery Physician
Primary
ME157025
FL

Other

Enumeration date
03/03/2008
Last updated
06/14/2022
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