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Individual

DR. RAMAKRISHNA P KANURI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., P.A.

Contact information

Practice address
12190 CORTEZ BLVD, BROOKSVILLE, FL 34613-5578
(352) 597-1206
(352) 597-1208
Mailing address
12190 CORTEZ BLVD, BROOKSVILLE, FL 34613-5578
(352) 597-1206
(352) 597-1208

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME54781
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
263287000
FL
Enumeration date
03/28/2006
Last updated
07/08/2007
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