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Organization

KENNY CHANTASI DO PLLC

Active
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Organization

KENNY CHANTASI DO PLLC

Active
Other names
PrimeCell Regenerative, PrimeCell Regenerative and Aesthetics Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNY CHANTASI DO (OWNER)
(917) 832-4912
Entity
Organization

Contact information

Practice address
2295 S HIAWASSEE RD STE 103, ORLANDO, FL 32835-8748
(917) 832-4912
Mailing address
2295 S HIAWASSEE RD STE 410, ORLANDO, FL 32835-8747

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—

Other

Enumeration date
04/01/2025
Last updated
08/19/2026
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