SHANTA A PURUSHOTHAM MD PA

BROOKSVILLE, FL
NPI1790729044
Entity TypeOrganization
Authorized ContactSHANTA A PURUSHOTHAM
Md
352-799-0135
Organization Subpart ?No
Primary Taxonomy207RR0500X Internal Medicine Rheumatology
Enumeration Date2006-06-16
Last Update Date2011-09-23
Business Address
SHANTA A PURUSHOTHAM MD PA
711 HARVARD ST
BROOKSVILLE, FL 34601-2842
Phone number: 352-799-0135
Mailing Address
SHANTA A PURUSHOTHAM MD PA
711 HARVARD ST
BROOKSVILLE, FL 34601-2842
Phone number: 352-799-0135
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