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1306836952
POONAM MISHRA
MELBOURNE, FL
NPI
1306836952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: FL 593360315)
Enumeration Date
2005-10-25
Last Update Date
2015-02-06
Business Address
-- POONAM MISHRA D.O.
401 N WICKHAM RD SUITE H
MELBOURNE, FL 32935-8659
Phone number: 321-757-5105
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Mailing Address
-- POONAM MISHRA D.O.
401 N WICKHAM RD SUITE H
MELBOURNE, FL 32935-8659
Phone number: 321-757-5105
Copy
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