Organization
KUNCHERIA JOSEPH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUNCHERIA JOSEPH MD (PRESIDENT/SOLE OWNER/PHYSICIAN)
(941) 485-6969
Entity
Organization
Contact information
Practice address
1101 TAMIAMI TRL S, SUITE 202, VENICE, FL 34285-4133
(941) 485-6969
(941) 894-6226
Mailing address
1101 TAMIAMI TRL S, SUITE 202, VENICE, FL 34285-4133
(941) 485-6969
(941) 894-6226
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME31818
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144415324
NPPES DR KUNCHERIA JOSEPHMD
FL
Enumeration date
10/08/2010
Last updated
10/08/2010
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