S Manjula Jegasothy MD PA

NPI #1760664387 in Coral Gables, Florida

Provider Information

NPI Number: 1760664387
Entity Type: Organization
Organization Name: S Manjula Jegasothy MD PA
Primary Specialty: Dermatology
Enumeration Date: Dec 5, 2007
Last Updated: Feb 12, 2013

Practice Location

Address: 135 SAN LORENZO AVE STE 870
City: Coral Gables
State: Florida
ZIP Code: 33146-1879
Phone: (305) 569-0067

Authorized Official

Name: SHEVANTI MANJULA JEGASOTHY, MD
Title: OWNER
Phone: (305) 569-0067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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