KAVITHA GANESAN
Physician at Southside Blvd, Jacksonville, FL

License number
Florida 22563
Issued Date
Apr 6, 2016
Effective Date
Apr 6, 2016
Expiration Date
Jun 30, 2018
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address 2
8433 Southside Blvd APT 610, Jacksonville, FL 32256
2001 Kingsley Ave, Orange Park, FL 32073
Phone
(603) 943-6768
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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