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1770845711
SAMPATH KUMAR MANICKAM
SARASOTA, FL
NPI
1770845711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RR0500X Internal Medicine Rheumatology
(Licence: FL ME133234)
Enumeration Date
2012-06-14
Last Update Date
2024-01-03
Business Address
SAMPATH KUMAR MANICKAM M.D.
8383 S TAMIAMI TRL UNIT 115
SARASOTA, FL 34238-2901
Phone number: 941-497-4069
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Mailing Address
SAMPATH KUMAR MANICKAM M.D.
2675 WINKLER AVE FL 2
FORT MYERS, FL 33901-9342
Phone number: 877-856-3774
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