Eyyunni Pa

NPI 1083769749 - Otolaryngology - 207Y00000X

NPI Details
NPI 1083769749
Enumeration Date 01/24/2007
Last Updated 08/19/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RAMANUJAM RAMANUJAM
Position OWNER
Phone (904) 819-0101
Fax
Practice Location
201 HEALTH PARK BLVD
SUITE 107
ST AUGUSTINE FL, 32086-5796, US
Phone (904) 819-0101
Fax
Business Location
PO BOX 3123
ST AUGUSTINE FL, 32085-3123, US
Phone (904) 824-4990
Fax (904) 824-2226
Toxanomy
Taxonomy Code 207Y00000X
License State Florida
License Number ME82671
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According to our database, Eyyunni Pa NPI is 1083769749, taxonomy code is 207Y00000X and license number is ME82671, license state is located at Florida. Eyyunni Pa physically located at 201 Health Park Blvd, St Augustine FL, 32086-5796. NPI Number 1033115704 has the healthcare provider type.

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1083769749 NPI number is provided on an as is basis without warranty of any kind. 1083769749 is maintained by the National Plan & Provider Enumeration System. The contents of Eyyunni Pa are for informational purposes only.