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1104832880
PRASANNA VIBHUTE
JACKSONVILLE, FL
NPI
1104832880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: FL ME101794)
Enumeration Date
2006-08-01
Last Update Date
2020-09-02
Business Address
PRASANNA VIBHUTE MD
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Phone number: 904-953-2000
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Mailing Address
PRASANNA VIBHUTE MD
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
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