Organization
SHREE ANITHA PRASANNA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHREE PRASANA (OWNER)
(321) 267-3304
Entity
Organization
Contact information
Practice address
2955 PINEDA PLAZA WAY, MELBOURNE, FL 32940-7318
(321) 267-3304
Mailing address
2955 PINEDA PLAZA WAY STE 108, MELBOURNE, FL 32940-7306
(321) 267-3304
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
02/24/2025
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