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Individual

DR. ANJANAYA PRASAD RAO KORLIPARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1331 N LAWNWOOD CIR, FORT PIERCE, FL 34950-4825
(772) 489-5900
(772) 489-2086
Mailing address
1331 N LAWNWOOD CIR, FORT PIERCE, FL 34950-4825
(772) 489-5900
(772) 489-2086

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0054509
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
040773900
FL
Enumeration date
11/14/2006
Last updated
10/26/2012
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