POOJA PRAKASH BAVISKAR

DAVIE, FL
NPI1356987721
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  9112760)
Enumeration Date2019-11-20
Last Update Date2020-01-02
Business Address
POOJA PRAKASH BAVISKAR
931 SW 111TH WAY
DAVIE, FL 33324-4130
Phone number: 954-608-3790
Mailing Address
POOJA PRAKASH BAVISKAR
931 SW 111TH WAY
DAVIE, FL 33324-4130
Phone number:
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