Organization
RAJARAM P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERUMALSWAMY RAJARAM M.D.,P.A. (PRESIDENT)
(813) 685-2191
Entity
Organization
Contact information
Practice address
40124 HIGHWAY 27, SUITE 203, DAVENPORT, FL 33837-5905
(863) 421-7626
(863) 421-0886
Mailing address
321 E ROBERTSON ST, BRANDON, FL 33511-5253
(813) 685-2191
(813) 689-8755
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0040960
FL
Other
Enumeration date
06/26/2007
Last updated
08/02/2007
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