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Suma & Durga Pa
Specialist in Davenport, Florida
NPI 1215250535

Suma & Durga Pa is a Specialist based in Winter Haven, FL. Suma & Durga Pa practices in Davenport, FL. The NPI Number for Suma & Durga Pa is 1215250535 and holds a License No. ME 96502 (Florida).

The current practice location address for Suma & Durga Pa is 2243 North Blvd W, Davenport, FL and can be reached out via phone at 863-353-1394 and via fax at 863-638-5722.

Location: 2243 North Blvd W, Davenport, FL, 33884-3599
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215250535
Provider Name
Suma & Durga Pa
Credential
Provider Entity Type
Organization
Address
2243 North Blvd W, Davenport, FL, 33884-3599
Phone Number
863-353-1394
Fax Number
863-638-5722
Provider Enumeration Date
03/02/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
277037700 05 FL
68856 01 FL BCBS OF FL
N379567 01 WELLCARE
1411835 01 AETNA
5764074 01 CIGNA
institution
Provider Business Practice Location Address Details
Address
2243 North Blvd W
City
Davenport
State
Florida
Zip
33837-8990
Phone Number
863-353-1394
Fax Number
863-638-5722
person
Provider Business Mailing Address Details
Address
2243 North Blvd W
City
Davenport
State
Florida
Zip
33837-8990
Phone Number
863-353-1394
Fax Number
863-638-5722
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME 96502 (Florida)
Definition
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.
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