SUSHAMA CHANNAVEERAIAH
Physician at Burgandy Trl, Jacksonville, FL

License number

Florida 23759

Issued Date

Jun 6, 2016

Effective Date

Jun 6, 2016

Expiration Date

Jun 30, 2018

Category

Health Care

Type

Registration for Resident/HSE Physician

Address

Address 2

1248 N Burgandy Trl, Jacksonville, FL 32259
2001 Kingsley Ave, Orange Park, FL 32073

Phone

(904) 999-4715

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