Individual
GEETHA J KAMATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5767 49TH ST N, ST PETERSBURG, FL 33709-2107
(727) 522-0558
(727) 521-3605
Mailing address
4371 VERONICA S SHOEMAKER BLVD, ATTN: CREDENTIALING DEPARTMENT, FORT MYERS, FL 33916-2216
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME37660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065324100
—
FL
Enumeration date
04/07/2006
Last updated
11/13/2021
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