EYYUNNI PA
Radiology at Health Park Blvd, Saint Augustine, FL

License number
Florida ME82671
Category
Medical Practice
Type
Otolaryngology
License number
Florida ME81943
Category
Radiology
Type
Surgery
Owner
Name: RAMANUJAM EYYUNNI MD
Title: OWNER
Phone: (904) 819-0101
Address
Address
201 Health Park Blvd SUITE 107, Saint Augustine, FL 32086
National Provider ID: 1083769749
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EYYUNNI PA at bizstanding.com

EYYUNNI, PA

Saint Augustine, FL

Registration:
Feb 17, 2005
Addresses:
201 Health Park Blvd SUITE # 107, Saint Augustine, FL 32086 (Physical)
Saint Augustine, FL 32086 (Mailing)
PO Box 860007, Saint Augustine, FL 32086
State ID:
P05000025370
Business type:
Florida Profit Corporation
Directors:
Ramanujam Eyyunni (Director),Uma Eyyunni (Director)
Agent:
Brennan Manna Diamond,The Sun Trust, Jacksonville, FL 32202 (Physical)
EIN:
202354499

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