Mallikarjuna Prasad Suryamoni, PT - Physical Therapist in Titusville, FL

Mallikarjuna Prasad Suryamoni, PT is a Physical Therapist based in Titusville, Florida. Mallikarjuna Prasad Suryamoni is licensed to practice in Florida (license number 25836) and his current practice location is 1550 Jess Parrish Ct, Titusville, Florida. He can be reached at his office (for appointments etc.) via phone at (321) 269-2200.

NPI number for Mallikarjuna Prasad Suryamoni is 1265703425 and his current mailing address is 3515 Sable Palm Ln Unit L, Titusville, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265703425.

Contact Information

Mallikarjuna Prasad Suryamoni, PT
1550 Jess Parrish Ct,
Titusville, FL 32796-2147
(321) 269-2200
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMallikarjuna Prasad Suryamoni
GenderMale
SpecialityPhysical Therapist
Location1550 Jess Parrish Ct, Titusville, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265703425
  • Provider Enumeration Date: 01/19/2012
  • Last Update Date: 01/19/2012

Medical Identifiers

Medical identifiers for Mallikarjuna Prasad Suryamoni such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265703425NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 25836 (Florida)Primary
225100000XPhysical Therapist 0500977A (Indiana)Secondary
225100000XPhysical Therapist 5501013526 (Michigan)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mallikarjuna Prasad Suryamoni is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mallikarjuna Prasad Suryamoni, PT
3515 Sable Palm Ln Unit L,
Titusville, FL 32780-5581

Ph: (618) 402-8723
Mallikarjuna Prasad Suryamoni, PT
1550 Jess Parrish Ct,
Titusville, FL 32796-2147

Ph: (321) 269-2200

Reviews and Comments


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Practice Location: 1550 Jess Parrish Ct, Titusville, FL 32796
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