Individual
SUDHA KODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13801 BRUCE B DOWNS BLVD, TAMPA, FL 33613-3946
(773) 815-4687
Mailing address
80 N LEAFLAND PT, LECANTO, FL 34461-7300
(773) 815-4687
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2014020070
MO
207R00000X
Internal Medicine Physician
5101023600
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
OS20752
FL
Other
Enumeration date
07/07/2014
Last updated
04/18/2024
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