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Individual

DR. LEELA S JOSYULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1515 26TH AVE E, BRADENTON, FL 34208-7707
(941) 708-8600
Mailing address
101 RIVERFRONT BLVD STE 710, BRADENTON, FL 34205-8812
(941) 776-4000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME89051
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
25MA04158300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3230708
NJ
Enumeration date
08/18/2006
Last updated
08/19/2022
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