Individual
ASUMTHIA S JEYAPALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6051
(305) 325-0293
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6051
(305) 325-0293
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
OS10178
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279061100
—
FL
Enumeration date
08/05/2007
Last updated
04/14/2021
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