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Organization

K R BYJU MD PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. EVELYN MOORE CPC, ACP (OPERATIONS MANAGER)
(941) 360-3161
Entity
Organization

Contact information

Practice address
2401 UNIVERSITY PKWY, SUITE 202, SARASOTA, FL 34243-2893
(941) 360-2579
(941) 360-2580
Mailing address
2401 UNIVERSITY PKWY, SUITE 202, SARASOTA, FL 34243-2893
(941) 360-2579
(941) 360-2580

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01547
UNIVERSAL
01
1339812001
CIGNA
01
13743
BCBS
FL
01
2744403
AETNA
FL
Enumeration date
10/11/2007
Last updated
10/30/2007
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