Individual
DR. JOGI V. PATTISAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 BONNIE LOCH CT, ORLANDO, FL 32806-2908
(407) 730-3102
(407) 730-3105
Mailing address
80 BONNIE LOCH CT, ORLANDO, FL 32806-2908
(407) 730-3102
(407) 730-3105
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME 0058285
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063602900
—
FL
Enumeration date
06/11/2006
Last updated
10/04/2011
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