Individual
BRUNO SHANKAR SUBBARAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7031 SW 62ND AVE, SOUTH MIAMI, FL 33143-4701
(305) 284-7500
Mailing address
533 NE 3RD AVE, APT 505, FORT LAUDERDALE, FL 33301-3283
(412) 478-9148
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS13628
FL
Other
Enumeration date
12/11/2012
Last updated
01/14/2016
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