Organization
PK CHERIAN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POTHEN C KORUTH MD (PHYSICIAN)
(407) 810-9033
Entity
Organization
Contact information
Practice address
758 N SUN DR STE 104, LAKE MARY, FL 32746-2599
(407) 333-3303
Mailing address
758 N SUN DR STE 104, LAKE MARY, FL 32746-2599
(407) 333-3303
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
02/09/2021
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