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Organization

VINAYAK V PURANDARE MD PL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VINAYAK V PURANDARE M.D. (OWNER)
(386) 672-8595
Entity
Organization

Contact information

Practice address
401 LAKEBRIDGE PLAZA DR, ORMOND BEACH, FL 32174-5157
(386) 672-8595
(386) 677-4987
Mailing address
305 MEMORIAL MEDICAL PARKWAY, SUITE 507, DAYTONA BEACH, FL 32117
(386) 672-8595
(386) 677-4987

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME0045136
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
048136000
FL
Enumeration date
08/21/2008
Last updated
06/20/2018
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