Individual
JAYASRI BUKKAPATNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21 W COLUMBIA ST, ORLANDO, FL 32806-1133
(321) 841-5560
(407) 425-5947
Mailing address
21 W COLUMBIA ST, ORLANDO, FL 32806-1133
(321) 841-5560
(407) 425-5947
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME104383
FL
Other
Enumeration date
10/01/2008
Last updated
02/03/2012
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