Organization
SHYAM VERMA MD PA
Active
Other names
FLORIDA NEPHROLOGY ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHYAM VERMA M.D. (MEDICAL DIRECTOR)
(321) 267-1164
Entity
Organization
Contact information
Practice address
801 GARDEN ST, TITUSVILLE, FL 32796
(321) 267-1164
(321) 267-8378
Mailing address
801 GARDEN ST, TITUSVILLE, FL 32796-3408
(321) 267-1164
(321) 267-8378
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME0054560
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049633200
—
FL
Enumeration date
07/14/2006
Last updated
06/03/2022
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