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1699764910
SUJATHA BASKAR
TAVARES, FL
NPI
1699764910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME94000)
Enumeration Date
2005-10-19
Last Update Date
2015-05-27
Business Address
-- SUJATHA BASKAR MD
1866 MAYO DR
TAVARES, FL 32778-4320
Phone number: 352-508-5171
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Mailing Address
-- SUJATHA BASKAR MD
1866 MAYO DR
TAVARES, FL 32778-4320
Phone number: 352-508-5171
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