Organization
NAGULA & ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIWAKAR NAGULA D.O. (OWNER)
(912) 673-7074
Entity
Organization
Contact information
Practice address
1361 13TH AVE S, SUITE 140, JACKSONVILLE BEACH, FL 32250-3233
(904) 261-8400
(904) 261-2255
Mailing address
1361 13TH AVE S, SUITE 140, JACKSONVILLE BEACH, FL 32250-3233
(904) 261-8400
(904) 261-2255
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
09/11/2012
Last updated
10/30/2012
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