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Individual

DR. PAVANA KUMARI BEERELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3140 SUNTREE BLVD STE 5, ROCKLEDGE, FL 32955-5789
(321) 985-4200
(321) 622-4062
Mailing address
PO BOX 361095, MELBOURNE, FL 32936-1095
(321) 985-4200
(321) 622-4062

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
ME116796
FL
207R00000X
Internal Medicine Physician
ME116796
FL

Other

Enumeration date
06/30/2008
Last updated
06/05/2020
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