FOUR CORNERS INTERNAL MEDICINE, LLC
Ambulatory Health at Polo Park East Blvd, Davenport, FL

License number
Florida ME78339
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. SRINATH REDDY KOSANAM MD
Title: OWNER
Phone: (863) 424-8900
Address
Address 2
106 Polo Park East Blvd EAST, Davenport, FL 33897
10603 Emerald Chase Dr, Orlando, FL 32836
National Provider ID: 1346295466
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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