NPI Provider: 1235328519
Contact Name: Borra Reddy Sujatha
Position: President
Phone: (813) 983-0894
Sujatha Borra Md Pa Information:
Sujatha Borra Md Pa organization have npi 1235328519, taxonomy code is 2084N0400X with license number is ME86603 in . This Business address located in 13391 N 56th St, Tampa, FL 33617 Florida.
Practice Location
Address: 13391 N 56th St, Tampa, FL 33617
Phone: (813) 983-0894
Business Location
Address: 13391 N 56th St, Tampa, FL 33617
Phone: (813) 983-0894
Taxonomy
Taxonomy Code: 2084N0400X
License Number: ME86603
License Number of State: FL
Primary Taxonomy Switch: Y
Enumeration Date: 10/23/2007
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