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1659302891
VENKATESAN R GORANTLA
JACKSONVILLE, FL
NPI
1659302891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: FL ME102628)
Enumeration Date
2006-07-05
Last Update Date
2023-01-12
Business Address
VENKATESAN R GORANTLA M.D.
655 W 8TH ST FL CC6
JACKSONVILLE, FL 32209-6511
Phone number: 513-310-2392
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Mailing Address
VENKATESAN R GORANTLA M.D.
655 W 8TH ST FL CC6
JACKSONVILLE, FL 32209-6511
Phone number: 513-310-2392
Copy
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