Individual
DR. ABHISHEK SURESH KANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7243 DELLA DR STE 1, ORLANDO, FL 32819-5104
(321) 843-5851
(321) 842-0089
Mailing address
7243 DELLA DR STE 1, ORLANDO, FL 32819-5104
(321) 843-5851
(321) 842-0089
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME156698
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME156698
FL
390200000X
Student in an Organized Health Care Education/Training Program
K550017894570
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114903700
—
FL
Enumeration date
03/22/2016
Last updated
11/10/2025
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