Purandare, Vinayak V

Purandare, Vinayak V is an individual health care provider with primary practice located at 305 Memorial Medical Parkway, Suite 507 , Daytona Beach FL 32117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Purandare, Vinayak V can be contacted via phone (386) 672-8595.

Contact Information

Primary practice address
305 Memorial Medical Parkway, Suite 507 Daytona Beach FL 32117
Phone: (386) 672-8595
Fax: (386) 677-4987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 207RN0300X Florida

Profile Details

NPI number 1265429500
LBN Legal business name Purandare, Vinayak V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Apr 19th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265429500 NPPES
Florida MEDICAID 048136000

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