Search › Florida › 183500000X
Sujith Idiculla
NPI 1386927135 · on the registry since 2011
Practice
- Address
- 705 North Pebble Beach Blvd
Walgreens
Suncity, FL 33573 - Phone
- (813) 634-8393
- Fax
- (813) 642-9066
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-27
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