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Individual

CORRIE C BHARUCHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5601 9TH ST N, ST PETERSBURG, FL 33703-1205
(727) 525-2161
(727) 527-1968
Mailing address
5601 9TH ST N, ST PETERSBURG, FL 33703-1205
(727) 525-2161
(727) 527-1968

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME107593
FL

Other

Enumeration date
10/15/2007
Last updated
09/02/2011
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