Organization
VALLI SUBRAMANIAN M.D. P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VALLI SUBRAMANIAN M.D (PRESIDENT)
(727) 447-8805
Entity
Organization
Contact information
Practice address
800 S FORT HARRISON AVE, CLEARWATER, FL 33756-3902
(727) 447-8805
(727) 449-8810
Mailing address
800 S FORT HARRISON AVE, CLEARWATER, FL 33756-3902
(727) 447-8805
(727) 449-8810
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME0064254
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374059500
—
FL
Enumeration date
01/26/2012
Last updated
01/26/2012
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