Most Relevant Information
Provider Data
| NPI Number: | 1003340142 |
| Provider Name: | PRASHANTH SHANMUGHAM M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2080P0203X |
| Specialty: | Pediatrics |
| License Number: | ME145475 |
Most Important Dates
| Enumeration Date: | 04/15/2017 |
| Last Updated: | 10/04/2024 |
Provider Practice Location
5151 N 9TH AVE
PENSACOLA
FL
325048721
Practice Location Phone/Fax
| Phone: | 8504164970 |
| Fax: |
Provider Mailing Location
4205 BELFORT RD STE 4015
JACKSONVILLE
FL
322163623
Provider Mailing Phone/Fax
| Phone: | 9044506063 |
| Fax: | 9045394091 |