Individual
SURICHYA SURATTANONT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3950 E STATE ROAD 64, BRADENTON, FL 34208-9059
(941) 708-5054
Mailing address
3950 E STATE ROAD 64, BRADENTON, FL 34208-9059
(941) 708-5054
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME0073236
FL
Other
Enumeration date
08/11/2005
Last updated
07/08/2007
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