OrganizationActive
Eyyunni PA
NPI 1083769749 · Surgery Physician · St Augustine, FL
Provider details
- NPI number
- 1083769749
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ramanujam Eyyunni, Owner(904) 819-0101
- License
- ME82671 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
201 Health Park Blvd
Suite 107
St Augustine, FL 32086-5796
Phone: (904) 819-0101
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3123
St Augustine, FL 32085-3123
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2011-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.