Organization
THIRUVALLUR VALLABHAN, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THIRUVALLUR E VALLABHAN MD (PHYSICIAN OWNER)
(352) 638-1705
Entity
Organization
Contact information
Practice address
8630 E COUNTY ROAD 466, SUITE A, THE VILLAGES, FL 32162-5613
(352) 638-1705
Mailing address
8630 E COUNTY ROAD 466, SUITE A, THE VILLAGES, FL 32162-5613
(352) 638-1705
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2010
Last updated
08/31/2010
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