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Individual

DR. PURUSHOTTAM MITRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1834 SW 1ST AVE, SUITE 101, OCALA, FL 34471-8101
(352) 732-5552
(352) 732-1131
Mailing address
1834 SW 1ST AVE, SUITE 101, OCALA, FL 34471-8101
(352) 732-5552
(352) 732-1131

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME56306
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039454800
FL
Enumeration date
04/11/2006
Last updated
11/16/2011
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