Individual
SUSHMITHA SANTHOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16130 SW 91ST CT, PALMETTO BAY, FL 33157-3599
(305) 254-6388
Mailing address
16130 SW 91ST CT, PALMETTO BAY, FL 33157-3599
(305) 254-6388
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
207L00000X
FL
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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