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1407915929
MANJUL DERASARI M.D.,P.A.
TAMPA, FL
NPI
1407915929
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Entity Type
Organization
Authorized Contact
MANJUL D DERASARI
Medical Director
813-933-5900
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: FL ME54111)
Enumeration Date
2006-12-08
Last Update Date
2013-12-19
Business Address
MANJUL DERASARI M.D.,P.A.
1912 E BUSCH BLVD
TAMPA, FL 33612-8666
Phone number: 813-933-5900
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Mailing Address
MANJUL DERASARI M.D.,P.A.
1912 E BUSCH BLVD
TAMPA, FL 33612-8666
Phone number: 813-933-5900
Copy
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