Individual
DR. DEEPA SUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1812 US HIGHWAY 19, HOLIDAY, FL 34691-5535
(727) 942-3355
(877) 902-4052
Mailing address
1812 US HIGHWAY 19, HOLIDAY, FL 34691-5535
(727) 942-3355
(877) 902-4052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME103805
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013844700
—
FL
Enumeration date
10/16/2006
Last updated
02/11/2016
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