Individual
SRIRAM PERNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11371 CORTEZ BLVD STE 101, BROOKSVILLE, FL 34613-5408
(352) 663-9510
(352) 251-0226
Mailing address
11371 CORTEZ BLVD STE 101, BROOKSVILLE, FL 34613-5408
(352) 663-9510
(352) 251-0226
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
35086214
OH
207VM0101X
Maternal & Fetal Medicine Physician
Primary
ME168708
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122937400
—
FL
05
—
2592716
—
OH
Enumeration date
09/13/2006
Last updated
02/13/2025
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