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1194843763
VENKATA R POTHURAJU
SANFORD, FL
NPI
1194843763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME103700)
Enumeration Date
2007-03-26
Last Update Date
2020-09-03
Business Address
Dr. VENKATA R POTHURAJU MD
4930 E LAKE MARY BLVD
SANFORD, FL 32771-5003
Phone number: 407-322-8645
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Mailing Address
Dr. VENKATA R POTHURAJU MD
4930 E LAKE MARY BLVD
SANFORD, FL 32771-5003
Phone number: 407-322-8645
Copy
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