Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | ME150022 | FL |
NPI | 1285089649 |
---|---|
Provider Name | Richa Sutaria |
First Address | Wesley Chapel, FL 33544-9206 |
Second Address | Dade City, FL 33525-5801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2016 |
Last Update Date | 30/09/2021 |