Individual
DR. AKILA BALASUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
985 STATE ROAD 436, CASSELBERRY, FL 32707-5664
(407) 831-5252
(407) 831-3765
Mailing address
985 STATE ROAD 436, CASSELBERRY, FL 32707-5664
(407) 831-5252
(407) 831-3765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME94679
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280689401
—
FL
Enumeration date
07/21/2006
Last updated
04/19/2022
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