Organization
ANASTASIA MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUHAS P NEERUKONDA MD (MANAGING PARTNER)
(904) 461-0343
Entity
Organization
Contact information
Practice address
1301 PLANTATION ISLAND DRIVE, SUITE 203A, ST AUGUSTINE, FL 32080
(904) 461-0821
(904) 461-0823
Mailing address
1301 PLANTATION ISLAND DRIVE, SUITE 203A, ST AUGUSTINE, FL 32080
(904) 461-0821
(904) 461-0823
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277020200
—
FL
01
—
99767
BCBS
FL
Enumeration date
04/11/2006
Last updated
01/15/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us