Individual
SAMPATH KUMAR MANICKAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8383 S TAMIAMI TRL UNIT 115, SARASOTA, FL 34238-2901
(941) 497-4069
(941) 496-9475
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME133234
FL
Other
Enumeration date
06/14/2012
Last updated
01/03/2024
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