Organization
FLORIDA THERANOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHOK MUTHUKRISHNAN MD (PHYSICIAN)
(561) 719-7366
Entity
Organization
Contact information
Practice address
431 UNIVERSITY BLVD, JUPITER, FL 33458-3103
(561) 719-7366
(561) 600-4476
Mailing address
431 UNIVERSITY BLVD, JUPITER, FL 33458-3103
(561) 719-7366
(561) 600-4476
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
—
—
2085N0904X
Nuclear Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME154398
LICENSE BOARD
FL
Enumeration date
02/03/2022
Last updated
01/17/2026
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