Eyyunni Pa

LBN: Eyyunni Pa
Eyyunni Pa is an health care organization with primary practice located at 201 Health Park Blvd Suite 107, St Augustine FL 32086-5796. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Eyyunni Pa can be contacted via phone (904) 819-0101, or through Eyyunni, Ramanujam via phone (904) 819-0101.

Contact Information

Primary practice address
201 Health Park Blvd Suite 107 St Augustine FL 32086-5796
Phone: (904) 819-0101
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eyyunni, Ramanujam Doctor of Medicine (MD)
Phone: (904) 819-0101

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME82671 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X ME81943 Florida

Profile Details

NPI number 1083769749
LBN Legal business name Eyyunni Pa
DBA Doing business as
Authorized official Eyyunni, Ramanujam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Aug 19th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083769749 NPPES
Florida MEDICAID 002377800
Florida Other DG4055

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