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Individual

MRS. LATHA SRINATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2300 SOUTH CONGRESS AVE STE 100, BOYNTON BEACH, FL 33426
(561) 735-7531
(561) 742-8250
Mailing address
2300 SOUTH CONGRESS AVE STE 100, BOYNTON BEACH, FL 33426
(561) 735-7531
(561) 742-8250

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME0066586
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2198994
AETNA
FL
01
25857
BLUE CROSS
FL
05
376440100
FL
Enumeration date
09/07/2006
Last updated
07/08/2007
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