Organization
O SAMBANDAM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. O SAMBANDAM MD PA (OWNER)
(941) 627-0323
Entity
Organization
Contact information
Practice address
2400 HARBOR BLVD, SUITE 8, PORT CHARLOTTE, FL 33952-5052
(941) 627-0323
(941) 627-3853
Mailing address
2400 HARBOR BLVD, SUITE 8, PORT CHARLOTTE, FL 33952-5052
(941) 627-0323
(941) 627-3853
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME33947
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
O39846200
—
FL
Enumeration date
08/30/2010
Last updated
08/30/2010
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