Individual
DR. SUTANU MISRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8201 W BROWARD BLVD, PLANTATION, FL 33324-2701
(954) 473-6600
Mailing address
4444 ARABIAN WAY, COOPER CITY, FL 33328-2802
(724) 831-9042
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME126867
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SM54515
—
RI
Enumeration date
07/21/2005
Last updated
02/05/2020
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