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Individual

KWANDI LOUIS-CHARLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(855) 303-3627
Mailing address
644 WOOD DR, KISSIMMEE, FL 34759-4126
(863) 242-9687

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9361796
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11002428
FL

Other

Enumeration date
04/12/2019
Last updated
07/16/2019
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