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1487601209
VIJAYA R CHALAMALASETTY
JACKSONVILLE, FL
NPI
1487601209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME93986)
Enumeration Date
2006-05-27
Last Update Date
2015-11-16
Business Address
Dr. VIJAYA R CHALAMALASETTY M.D.
820 PRUDENTIAL DR STE 304 CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32207-8205
Phone number: 904-346-3649
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Mailing Address
Dr. VIJAYA R CHALAMALASETTY M.D.
PO BOX 44004
JACKSONVILLE, FL 32231-4004
Phone number: 904-202-1032
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