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1689025009
SURESH KANDAVANAM
DAYTONA BEACH, FL
NPI
1689025009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL TRN23599)
Enumeration Date
2016-06-27
Last Update Date
2016-06-27
Business Address
Dr. SURESH KANDAVANAM M.D.
201 N CLYDE MORRIS BLVD SUITE 200
DAYTONA BEACH, FL 32114-2724
Phone number: 386-425-4165
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Mailing Address
Dr. SURESH KANDAVANAM M.D.
201 N CLYDE MORRIS BLVD SUITE 200
DAYTONA BEACH, FL 32114-2724
Phone number: 386-254-4165
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