VENKATESAN R GORANTLA

JACKSONVILLE, FL
NPI1659302891
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: FL  ME102628)
Enumeration Date2006-07-05
Last Update Date2023-01-12
Business Address
VENKATESAN R GORANTLA M.D.
655 W 8TH ST FL CC6
JACKSONVILLE, FL 32209-6511
Phone number: 513-310-2392
Mailing Address
VENKATESAN R GORANTLA M.D.
655 W 8TH ST FL CC6
JACKSONVILLE, FL 32209-6511
Phone number: 513-310-2392