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Venu Gopal Kolla

NPI 1578804902 · on the registry since 2013 · sole proprietor

Practice

Address
212 Tadcaster Ct
Saint Johns, FL 32259
Phone
(904) 735-5333

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-03-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida