Search › Florida › 225100000X
Mallikarjuna Suryamoni, PT
NPI 1265703425 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1550 Jess Parrish Ct
Titusville, FL 32796 - Phone
- (321) 269-2200
- Organisation at this address
- Genesis Rehab Services
Vista Manor Operating Llc
Vista Manor Health Care Associates Llc
1550 Jess Parrish Court Operations LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
225100000X - Licence states on file
- FL, IN, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida