CHITRA KUTHIALA MD PA
Osteopathic Medicine at San Jose Blvd, Jacksonville, FL

License number
Florida ME29708
Category
Osteopathic Medicine
Type
Allergy & Immunology
Owner
Name: DR. CHITRA KUTHIALA M.D., PA
Title: PRESIDENT
Phone: (904) 262-9135
Address
Address
9765 San Jose Blvd SUITE 108, Jacksonville, FL 32257
National Provider ID: 1124283544
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Chitra Kuthiala, M.D., PA

9765 San Jose Blvd, Jacksonville, FL 32257

Registration:
Aug 9, 2001
State ID:
P01000078433
Business type:
Domestic for Profit Corporation
President:
Chitra Kuthiala (President)
Agent:
S. K. Kuthiala

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