Organization
J SURANI PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGIE CALAHAN (BILLING)
(772) 569-3212
Entity
Organization
Contact information
Practice address
777 37TH ST STE B102, VERO BEACH, FL 32960-4897
(772) 569-3212
(772) 569-1435
Mailing address
777 37TH ST STE B102, VERO BEACH, FL 32960-4897
(772) 569-3212
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME103068
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002948500
—
FL
05
—
003053900
—
FL
Enumeration date
11/22/2010
Last updated
04/05/2012
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