Individual
BALAKUMARAN SURIAKUMARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2910 OLD CANOE CREEK RD, SAINT CLOUD, FL 34772-7670
(407) 593-1242
Mailing address
2910 OLD CANOE CREEK RD, SAINT CLOUD, FL 34772-7670
(407) 593-1242
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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