Individual
SURESH RAMASUBBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1317 EDGEWATER DR # 5300, ORLANDO, FL 32804-6350
(305) 735-2452
Mailing address
1317 EDGEWATER DR # 5300, ORLANDO, FL 32804-6350
(305) 735-2452
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36104175
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2018008464
MO
Other
Enumeration date
11/13/2017
Last updated
09/14/2022
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