Individual
DR. VINAITHEERTHA P NAGARAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12202 CORTEZ BLVD, BROOKSVILLE, FL 34613-2630
(352) 592-7779
(352) 592-7677
Mailing address
12202 CORTEZ BLVD, BROOKSVILLE, FL 34613-2630
(352) 592-7779
(352) 592-7677
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME30767
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069305700
—
FL
01
—
26072
BC/BS FLORIDA
FL
Enumeration date
11/23/2005
Last updated
11/04/2013
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