Provider Demographics
NPI:1649930025
Name:RAMAKRISHNA, SUMA (ARNP FNP-C MSN)
Entity type:Individual
Prefix:MRS
First Name:SUMA
Middle Name:
Last Name:RAMAKRISHNA
Suffix:
Gender:F
Credentials:ARNP FNP-C MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:932 SAXON BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-8258
Mailing Address - Country:US
Mailing Address - Phone:386-774-0326
Mailing Address - Fax:
Practice Address - Street 1:932 SAXON BLVD STE A
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-8258
Practice Address - Country:US
Practice Address - Phone:386-774-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-27
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11015828363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily