Organization
KIRTANE ASSOCIATES M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRISH KAMALAKAR KIRTANE M.D. (OWNER)
(407) 788-7844
Entity
Organization
Contact information
Practice address
210 N WESTMONTE DR, SUITE 1000, ALTAMONTE SPRINGS, FL 32714-3311
(407) 788-7844
(407) 682-6071
Mailing address
PO BOX 160127, ALTAMONTE SPRINGS, FL 32716-0127
(407) 788-7844
(407) 682-6071
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
ME37121
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME38048
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065091900
—
FL
05
—
065694100
—
FL
01
—
ME37121
LISCENSE
FL
01
—
ME38048
LISCENSE
FL
Enumeration date
08/24/2010
Last updated
08/24/2010
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