Organization
PEDIATRIC HOSPITALIST & SEDATION SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHIRA KULATUNGA MD (PRESIDENT)
(561) 791-0283
Entity
Organization
Contact information
Practice address
13001 SOUTHERN BLVD, LOXAHATCHEE, FL 33470-9203
(561) 791-0283
Mailing address
PO BOX 1224, LOXAHATCHEE, FL 33470-1224
(561) 791-0283
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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