S Manjula Jegasothy MD PA
Dermatology in Coral Gables, FL. Organization (NPI-2).
NPI number1760664387
StatusActive
Last updated in NPPESFeb 12, 2013
Details
- NPI
- 1760664387
- Entity type
- Organization (NPI-2)
- Legal business name
- S Manjula Jegasothy MD PA
- Organization subpart
- No
- Enumeration date
- Dec 5, 2007
- Last updated
- Feb 12, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
135 San Lorenzo Ave Ste 870Coral Gables, FL 33146-1879
Phone 305-569-0067 · Fax 305-569-0110
Mailing address
135 San Lorenzo Ave Ste 870Coral Gables, FL 33146-1879
Phone 305-569-0067 · Fax 305-569-0110
Authorized official
Shevanti Manjula Jegasothy
Owner
3055690067
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