LAVANYA KODALI
Physician at 8 St, Jacksonville, FL

License number
Florida 12068
Issued Date
Mar 5, 2008
Effective Date
Aug 23, 2011
Expiration Date
Jun 30, 2010
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address
653-1 W 8Th St BOX L15, Jacksonville, FL 32209
Phone
(402) 415-4793
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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