Individual
DR. SUMITHRA VATTIGUNTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 PGA BLVD STE 200, FLORIDA CANCER SPECIALISTS, PALM BEACH GARDENS, FL 33410-2824
(561) 366-4100
(561) 798-5581
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME0092306
FL
207RX0202X
Medical Oncology Physician
Primary
ME0092306
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272075200
—
FL
Enumeration date
07/20/2006
Last updated
09/02/2022
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