Individual
DR. POOVAMBUR SUNDARESAN KRISHNAMURTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
1020,LAFEYETTE STREET, 108, TALLAHASSEE, FL 32301
(850) 671-2600
Mailing address
3776,BOBBINBROOKCIRCLE, TALLAHASSEE, FL 32312
(850) 668-5619
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
26988
FL
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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