Individual
SUBHASIS MISRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 S MOON AVE STE 102A, BRANDON, FL 33511-5716
(813) 662-6200
(813) 571-1688
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME133522
FL
208600000X
Surgery Physician
P5424
TX
2086X0206X
Surgical Oncology Physician
35.092153
OH
2086X0206X
Surgical Oncology Physician
ME133522
FL
2086X0206X
Surgical Oncology Physician
P5424
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200480380 A
—
OK
05
—
315199501
—
TX
05
—
315199502
—
TX
05
—
88522750
—
NM
Enumeration date
05/20/2008
Last updated
01/31/2024
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