Individual
DR. ANURADHA SUBRAMANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2402 FRIST BLVD STE 204, FORT PIERCE, FL 34950-4838
(772) 462-3939
(772) 462-3938
Mailing address
2402 FRIST BLVD STE 204, FORT PIERCE, FL 34950-4838
(772) 462-3939
(772) 462-3938
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
056774
GA
2086S0102X
Surgical Critical Care Physician
056774
GA
2086S0102X
Surgical Critical Care Physician
Primary
ME132261
FL
Other
Enumeration date
05/08/2007
Last updated
12/01/2020
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