Individual
DEEPA SUKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4445 S SEMORAN BLVD STE A, ORLANDO, FL 32822-2472
(407) 203-8957
(855) 296-8047
Mailing address
4445 S SEMORAN BLVD STE A, ORLANDO, FL 32822-2472
(407) 203-8957
(855) 296-8047
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME122569
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016837800
—
FL
Enumeration date
11/15/2005
Last updated
12/23/2020
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