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Individual

VIRESH MOHANLAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3885 OAKWATER CIR, ORLANDO, FL 32806-6257
(407) 894-4693
Mailing address
3885 OAKWATER CIR, SUITE C, ORLANDO, FL 32806-6257
(407) 851-6226
(407) 438-0507

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0061504
MD
207RN0300X
Nephrology Physician
Primary
ME109408
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004071500
FL
Enumeration date
03/27/2006
Last updated
07/01/2016
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