SearchFlorida207RI0011X

Prem Srinivas Subramaniyam, MD

NPI 1578872487 · on the registry since 2010 · sole proprietor

Practice

Address
410 Lionel Way Ste 201
Davenport, FL 33837
Phone
(863) 422-5331
Organisation at this address
Mohib Medical Llc
Florida Hospital Medical Group Inc
Elite Care Of Central Florida Pllc
Central Florida Otolaryngology Pllc
Heart Of Florida Surgery Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Additional practice sites

  • 2 Trillium Way Ste 210, Corbin, KY

Registry record

Primary taxonomy
207RI0011X
207RI0011X
Also registered as
207RC0000X
207RI0011X
207R00000X
Licence states on file
MA, KY, FL, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-03-18

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