Healthcare Provider Details

I. General information

NPI: 1053566059
Provider Name (Legal Business Name): SURENDAR SWAMY VEERA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SURENDAR SWAMY VEERA M.D

II. Dates (important events)

Enumeration Date: 11/19/2008
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

483 N SEMORAN BLVD STE 210
WINTER PARK FL
32792-3800
US

IV. Provider business mailing address

483 N SEMORAN BLVD STE 210
WINTER PARK FL
32792-3800
US

V. Phone/Fax

Practice location:
  • Phone: 407-645-1847
  • Fax: 321-274-0246
Mailing address:
  • Phone: 407-645-1847
  • Fax: 321-274-0246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME106292
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME106292
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME106292
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: