Organization
SWAROOP MUPPAVARAPU, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAJA MUPPAVARAPU (ADMINISTRATOR)
(941) 916-2313
Entity
Organization
Contact information
Practice address
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(941) 206-7251
(941) 206-7250
Mailing address
18350 MURDOCK CIR UNIT 102, PORT CHARLOTTE, FL 33948-1024
(941) 206-7251
(941) 206-7250
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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