KUNCHERIA JOSEPH MD PA
Ambulatory Health at Tamiami Trl, Venice, FL

License number
Florida ME31818
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. KUNCHERIA JOSEPH MD
Title: PRESIDENT/SOLE OWNER/PHYSICIAN
Phone: (941) 485-6969
Address
Address
1101 Tamiami Trl S SUITE 202, Venice, FL 34285
National Provider ID: 1336459379
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KUNCHERIA JOSEPH, M.D., PA

Venice, FL

Registration:
Dec 29, 1978
Addresses:
1101 S Tamiami Trl 202, Venice, FL 34285 (Physical)
2522 Northway Dr, Venice, FL 34292 (Mailing)
1101 Tamiami Trl S, Venice, FL 34285
State ID:
605448
Business type:
Florida Profit Corporation
President, Director:
Kuncheria M.d. Joseph (President, Director), 2522 Northway Dr, Venice, FL 34292 (Physical)
Agent:
Joseph, Kuncheria, M.d,1101 S Tamiami Trl, Venice, FL 34285 (Physical)
EIN:
591869858

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