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Organization
SURESH C MISHRA MDPA
Active
Organization
SURESH C MISHRA MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURESH C MISHRA MD (PRESIDENT)
(941) 365-2171
Entity
Organization
Contact information
Practice address
3332 17TH ST, SARASOTA, FL 34235-8904
(941) 365-2171
(941) 957-3349
Mailing address
3332 17TH ST, SARASOTA, FL 34235-8904
(941) 365-2171
(941) 957-3349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 54969
FL
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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