Individual
UMAKUMARAN P PONNIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
841 PRUDENTIAL DR STE 280, JACKSONVILLE, FL 32207-8350
(904) 202-8550
(904) 393-7808
Mailing address
PO BOX 746645, ATLANTA, GA 30374-6645
(904) 376-4083
(904) 391-5075
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
24624
OK
2080P0202X
Pediatric Cardiology Physician
Primary
ME163207
FL
Other
Enumeration date
03/15/2006
Last updated
08/15/2024
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