Individual
KELLY BHANOT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-1668
Mailing address
2555 PONCE DE LEON BLVD, 4TH FLOOR, CORAL GABLES, FL 33134-6010
(305) 702-5135
(305) 441-2144
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
PA9102465
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
06/04/2006
Last updated
07/08/2007
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