Individual
PHIMAGHAM SRIRAMULU PREMKANTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1265 E MAIN ST, BARTOW, FL 33830-5006
(863) 534-3737
(863) 533-6323
Mailing address
1265 E MAIN ST, BARTOW, FL 33830-5006
(863) 534-3737
(863) 533-6323
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME89352
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019643500
—
FL
Enumeration date
07/20/2006
Last updated
02/24/2026
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