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Individual

SRISHA RAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2111 SW 20TH PL, OCALA, FL 34471-7734
(352) 622-4251
(352) 622-0102
Mailing address
2111 SW 20TH PL, OCALA, FL 34471-7734
(352) 622-4251
(352) 622-0102

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME73544
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
253115100
FL
01
41402A
MEDICARE
01
41402Z
MEDICARE
FL
Enumeration date
12/08/2005
Last updated
03/18/2016
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