GNANESWARA V MIDATHALA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****01

NOT RENEWED

N

MD

GNANESWARA V

MIDATHALA

GNANESWARA V MIDATHALA MD

02/14/2022

02/14/2022

07/31/2023

PALM HARBOR

FL

34683

PRACTITIONER

II III IV V

N

11/30/2023