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Soujanya
Soujanya
Pulluru
Medical doctor
Sarasota, United States
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Florida Health Care Practitioner Data Portal
Full name
SOUJANYA PULLURU
Job Title
Medical Doctor
Location
Sarasota, FL, USA
LIC ID
150111
Current License Expiration Date
31/01/2025
Original Date
13/10/2020
Professional Rank Code
ME
Effective Date
13/10/2020
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
SARASOTA
Mailing Address Line 2
Apt 2404
Practice Location Address Line 1
11108 Causeway Blvd
Practice Location Address City
BRANDON
Practice Location Address State
FL
Practice Location Address Zipcode
33511
Mode Code
Dispensing Practitioner
Prescribing Indicator
N
Dispensing Indicator
Y
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