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Individual

KANWALJIT K SIDHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2595 TAMPA RD STE C, PALM HARBOR, FL 34684-3130
(630) 849-8756
(727) 382-1382
Mailing address
2595 TAMPA RD STE C, PALM HARBOR, FL 34684-3130
(630) 849-8756

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN9438337
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9438337
FL

Other

Enumeration date
08/02/2012
Last updated
03/24/2025
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