Sampath Manickam

Medical doctor

Rheumatology

Sarasota,

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Reveal information

Full name

Sampath Manickam

Job Title

Medical Doctor

Location

Sarasota, FL, USA

LIC ID

134023

Current License Expiration Date

31/01/2025

Original Date

07/07/2017

Professional Rank Code

Effective Date

07/07/2017

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

SARASOTA

Mailing Address Line 2

8383 South Tamiami Trail. Suit

Practice Location Address Line 1

Millennium Physician Group

Practice Location Address Line 2

8383 South Tamiami Trail. Suite 115

Practice Location Address City

SARASOTA

Practice Location Address State

Practice Location Address Zipcode

34238

Mode Code

Dispensing Practitioner

Prescribing Indicator

Dispensing Indicator

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