Individual
DR. JAMUNA SIVAKANTHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-8561
(941) 917-2675
Mailing address
PO BOX 947407, ATLANTA, GA 30394-7407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
062181L
PA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME108680
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
780359
MEDICARE PROVIDER
PA
Enumeration date
06/01/2005
Last updated
09/19/2022
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