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Individual

SURESH LAKSHMINARAYANAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2980 SE 3RD CT, OCALA, FL 34471-0421
(352) 622-4231
(352) 622-0513
Mailing address
2980 SE 3RD CT, OCALA, FL 34471-0421
(352) 622-4231
(352) 622-0513

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME74871
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
254814300
FL
01
390007730
RRMC (IND)
FL
01
CD4677
RRMC (GRP)
FL
Enumeration date
07/13/2005
Last updated
09/25/2008
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