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Organization
BASTION MEDICAL PRACTICE OF FLORIDA, P.A.
Active
Organization
BASTION MEDICAL PRACTICE OF FLORIDA, P.A.
Active
Other names
Bastion Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASANTH KAINKARYAM MD (PRESIDENT)
(786) 220-0003
Entity
Organization
Contact information
Practice address
400 FARMINGTON AVE, FARMINGTON, CT 06032-1913
(786) 220-0003
Mailing address
400 FARMINGTON AVE, FARMINGTON, CT 06032-1913
(786) 220-0003
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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