Individual
DR. SURESH KUMAR MANICKAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2415 N ORANGE AVE STE 700, ORLANDO, FL 32804-5521
(407) 303-2474
Mailing address
2415 N ORANGE AVE STE 700, ORLANDO, FL 32804-5521
(407) 303-2474
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018010170
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2018010170
MO
207RP1001X
Pulmonary Disease Physician
Primary
ME134191
FL
Other
Enumeration date
04/20/2010
Last updated
06/24/2024
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