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1316902406
SUSHAMA VENUGOPAL
FORT LAUDERDALE, FL
NPI
1316902406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME39660)
Enumeration Date
2006-04-20
Last Update Date
2007-07-08
Business Address
-- SUSHAMA VENUGOPAL MD
200 NW 7TH AVE
FORT LAUDERDALE, FL 33311
Phone number: 954-759-6600
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Mailing Address
-- SUSHAMA VENUGOPAL MD
PO BOX 862851
ORLANDO, FL 32886-2851
Phone number: 954-847-4273
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