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Porur
Porur
Somasundaram
Medical doctor
Melbourne, United States
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
PORUR SOMASUNDARAM
Job Title
Medical Doctor
Location
Melbourne, FL, USA
LIC ID
145777
Current License Expiration Date
31/01/2026
Original Date
13/01/2020
Professional Rank Code
ME
Effective Date
13/01/2020
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
BREVARD
Practice Location Address Line 1
119 Longwood Avenue
Practice Location Address City
ROCKLEDGE
Practice Location Address State
FL
Practice Location Address Zipcode
32955
Prescribing Indicator
N
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