Individual
SURA KHALID JERMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 MICCOSUKEE RD, FSU INTERNAL MEDICINE RESIDENCY PROGRAM, TALLAHASSEE, FL 32308-5054
(850) 431-7900
(850) 431-7990
Mailing address
1300 MICCOSUKEE RD, FSU INTERNAL MEDICINE RESIDENCY PROGRAM, TALLAHASSEE, FL 32308-5054
(850) 431-7900
(850) 431-7990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME129133
FL
208M00000X
Hospitalist Physician
C199765
CA
208M00000X
Hospitalist Physician
Primary
ME129133
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2013
Last updated
04/29/2025
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