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Organization
SAI MEDICAL CENTER LLC
Active
Organization
SAI MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMANUJACHARY IYYUNNI (PRESIDENT)
(727) 527-2139
Entity
Organization
Contact information
Practice address
3831 16TH ST N, ST PETERSBURG, FL 33703-5601
(727) 527-2139
(727) 522-2832
Mailing address
PO BOX 24535, TAMPA, FL 33623-4535
(727) 823-2188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45551
BCBS
FL
01
—
CH7631
RR MCR LOC 2
FL
01
—
CH7639
RR MCR LOC 1
FL
Enumeration date
10/12/2006
Last updated
03/05/2009
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