MRUNALINI KAVURI MD PA
Ambulatory Health at Lake Ida Rd, Delray Beach, FL

License number
Florida ME98282
Category
Ambulatory Health
Type
Primary Care
Owner
Name: MRUNALINI KAVURI M.D.
Title: PRESIDENT
Phone: (561) 330-3026
Address
Address
2150 Lake Ida Rd, Delray Beach, FL 33445
National Provider ID: 1134302557
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MRUNALINI KAVURI, MD, PA

Delray Beach, FL  -  Boynton Beach, FL

Status:
Inactive
Doing business as:
Mrunalini Kavuri MD
Inactive reason:
ARTICLES OF CORRECTION/NAME CHANGE
Registration:
Nov 2, 2007
Inactive since:
Nov 8, 2007
Phone:
(561) 330-3026 (Phone)
Addresses:
2150 Lk Ida Rd 5, Delray Beach, FL 33445 (Physical)
7889 Emerald Winds Cir, Boynton Beach, FL 33473 (Mailing)
2150 Lk Ida Rd, Delray Beach, FL 33445
State ID:
P07000120065
Business type:
Florida Profit Corporation
S:
Mrunalini Kavuri (President), 7889 Emerald Winds Cir, Boynton Beach, FL 33473 (Physical),Nandaiah Dhanekula inactive
Agent:
Kavuri, Mrunalini,7889 Emerald Winds Cir, Boynton Beach, FL 33473 (Physical)
EIN:
26-1362082

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