Organization
FLORIDA ENDOCRINOLOGY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOMWYA SURYANARAYANAN M.D. (OWNER)
(727) 480-5619
Entity
Organization
Contact information
Practice address
34041 US HIGHWAY 19 N, SUITE C, PALM HARBOR, FL 34684-2648
(727) 480-5619
Mailing address
34041 US HIGHWAY 19 N, SUITE C, PALM HARBOR, FL 34684-2648
(727) 480-5619
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME117683
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME117683
MEDICAL LISCENCE
FL
Enumeration date
10/28/2016
Last updated
10/28/2016
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