Sujatha Borra Md Pa

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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