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Individual

MR. VINAITHEERTHA PERUMAL JEYABARATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9800 S HEALTHPARK DR STE 320, FORT MYERS, FL 33908-3630
(239) 343-6350
(239) 343-4738
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6350
(239) 343-4738

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME82878
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0194054
GHI
05
101902000
FL
01
2098464
FIRST HEALTH
FL
01
215868
STAYWELL AND WELLCARE
FL
01
288011
AV MED
FL
01
57738
BLUE CROSS BLUE SHIELD
FL
01
7852254
AETNA
FL
01
P00664878
RAILROAD MCR
FL
01
P11162038
MULTIPLAN
FL
Enumeration date
07/01/2006
Last updated
11/10/2023
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