Individual
DR. SUMAN PASUPULETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
308 W HIGHLAND BLVD, INVERNESS, FL 34452-4716
(352) 726-8353
(352) 726-5038
Mailing address
308 W HIGHLAND BLVD, INVERNESS, FL 34452-4716
(352) 726-8353
(352) 726-5038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME110126
FL
207RC0000X
Cardiovascular Disease Physician
ME110126
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME110126
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003823200
—
FL
01
—
1669405379
GROUP NPI
FL
01
—
ME110126
FL DOH LICENSE
FL
Enumeration date
05/03/2007
Last updated
09/12/2011
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