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Organization
SUBADRA SIVAKUMARAN MD PA
Active
Organization
SUBADRA SIVAKUMARAN MD PA
Active
Other names
Ocala Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KANDIAH SIVAKUMARAN (ADMINISTRATOR)
(352) 375-8710
Entity
Organization
Contact information
Practice address
4520 NW 33RD CT, GAINESVILLE, FL 32606-5937
(352) 671-1111
(352) 671-1131
Mailing address
4520 NW 33RD CT, GAINESVILLE, FL 32606-5937
(352) 671-1111
(352) 671-1131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 53303
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370645100
—
FL
Enumeration date
07/01/2006
Last updated
08/26/2010
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