MALLIK A PIDURU

BROOKSVILLE, FL
NPI1265405997
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: FL  ME0044053)
Additional Taxonomies2086S0129X 
(Licence: FL  ME0044053)
Enumeration Date2006-02-13
Last Update Date2012-01-24
Business Address
Dr. MALLIK A PIDURU M.D.
11373 CORTEZ BLVD SUITE 201
BROOKSVILLE, FL 34613-5414
Phone number: 352-596-7860
Mailing Address
Dr. MALLIK A PIDURU M.D.
15215 CORTEZ BLVD
BROOKSVILLE, FL 34613-6072
Phone number: 352-799-0046
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