SearchFlorida1223G0001X

Sivakumar Venkatachalam, DMD

NPI 1285202796 · on the registry since 2021

Practice

Address
4675 E Sr 44 Ste 104
Wildwood, FL 34785
Phone
(352) 418-3041
Fax
(352) 502-4141
Clinicians at this address
4

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-06-12

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