Individual
DR. NANJAPPA SUBRAMANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
2215 NEBRASKA AVE, SUITE 1 E, FORT PIERCE, FL 34950
(772) 461-2555
(772) 461-0775
Mailing address
2215 NEBRASKA AVE, SUITE 1 E, FORT PIERCE, FL 34950-4864
(772) 461-2555
(772) 461-0775
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME 037901
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067226200
—
FL
Enumeration date
02/13/2006
Last updated
02/21/2017
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