MANUS PRASERTHDAMM.D.P.A NPI 1376770826

NPI Information

MANUS PRASERTHDAM,M.D.,P.A is a specialist in St Petersburg, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MANUS PRASERTHDAM,M.D.,P.A NPI is 1376770826. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1201 5TH AVE N STE 208
ST PETERSBURG, FL
ZIP 33705-410
Phone: (727) 894-1122
Fax: (727) 894-0033

The provider's authorized official is Manus Praserthdam .
The authorized official title is Owner and has the following contact phone number (727) 894-1122.

The enumeration date for this NPI number is 6/11/2009 and was last updated on 6/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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