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1518351410
HAREN BODEPUDI
PORT ST LUCIE, FL
NPI
1518351410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207LP2900X Anesthesiology, Pain Medicine
(Licence: FL ME145133)
Enumeration Date
2015-03-27
Last Update Date
2021-04-22
Business Address
HAREN BODEPUDI M.D.
10050 SW INNOVATION WAY STE 102
PORT ST LUCIE, FL 34987-2117
Phone number: 772-344-3811
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Mailing Address
HAREN BODEPUDI M.D.
PO BOX 9033
STUART, FL 34995-9033
Phone number: 772-223-2832
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