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:
Health care specialties
| Specialty | Code | License # | 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 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083769749 | NPPES |
| Florida | MEDICAID | 002377800 | |
| Florida | Other | DG4055 |
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