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Individual

UMA EYYUNNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
201 HEALTH PARK BLVD, SUITE 107, ST AUGUSTINE, FL 32086-5796
(904) 819-0101
Mailing address
PO BOX 3123, ST AUGUSTINE, FL 32085-3123
(904) 824-4990
(904) 824-2226

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME82671
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262441900
FL
Enumeration date
09/13/2006
Last updated
08/19/2011
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