Individual
KAMINI MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6804 CECELIA DR, NEW PORT RICHEY, FL 34653-4935
(727) 232-0644
(855) 546-0488
Mailing address
1056 BLUEGRASS DR, GROVELAND, FL 34736-8812
(617) 645-3853
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
017195-1
NY
363AM0700X
Medical Physician Assistant
Primary
PA9119780
FL
Other
Enumeration date
04/09/2014
Last updated
05/09/2025
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