Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | ME97071 | FL |
N | 2084N0600X | Clinical Neurophysiologist | ME 97071 | FL |
NPI | 1033219100 |
---|---|
Provider Name | Alamelu Murugappan |
First Address | Brandon, FL 33511-5014 |
Second Address | Brandon, FL 33511-5014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 24/10/2019 |