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Organization

KURUVILLA ONCOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANAND M KURUVILLA MD (PRESIDENT AND CEO)
(386) 325-8140
Entity
Organization

Contact information

Practice address
600 ZEAGLER DR, PALATKA, FL 32177-3811
(386) 325-8140
(904) 350-0032
Mailing address
PO BOX 160219, ALTAMONTE SPRINGS, FL 32716-0219
(770) 693-2622

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Enumeration date
06/03/2024
Last updated
07/31/2024
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