Organization
PALANISAMY RATHINASAMY MD PA
Active
Other names
Surgical Associates of Tampa Bay
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KALYANAMATHY RATHINASAMY (OFFICE MANAGER)
(813) 681-4644
Entity
Organization
Contact information
Practice address
205 S.MOON AVE, SUITE 102, BRANDON, FL 33511-5716
(813) 681-4644
(813) 654-4486
Mailing address
205 S.MOON AVE, SUITE 102, BRANDON, FL 33511-5716
(813) 681-4644
(813) 654-4486
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265818600
—
FL
01
—
5410665
AETNA
—
01
—
CD0347
R.R.MEDICARE
—
Enumeration date
01/30/2007
Last updated
07/25/2012
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