Individual
ARAVINTHAN SUPPIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.B:CH.B
Contact information
Practice address
500 WINDERLEY PL STE 115, MAITLAND, FL 32751-7406
(407) 875-0555
Mailing address
500 WINDERLEY PL STE 115, MAITLAND, FL 32751-7406
(407) 875-0555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME104048
FL
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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