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Individual

ASUMTHIA S JEYAPALAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

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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