Individual
PRASANTH KRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2585 HERSCHEL ST, JACKSONVILLE, FL 32204-4557
(904) 388-2678
Mailing address
2585 HERSCHEL ST, JACKSONVILLE, FL 32204-4557
(904) 388-2678
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME114093
FL
Other
Enumeration date
05/22/2009
Last updated
07/25/2014
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