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Individual

ANU TATAMBHOTLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4049 S OHIO AVE, HOMOSASSA, FL 34446-1138
(352) 628-1000
(352) 628-1120
Mailing address
PO BOX 5069, HOMOSASSA SPRINGS, FL 34447-5069
(352) 628-1000
(352) 628-1120

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME73760
FL

Other

Enumeration date
12/31/2006
Last updated
04/13/2009
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