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Organization

KAN ANESTHESIA,LLC

Active
Other names
KAN ANESTHESIA,LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PRATHIMA MOORTHY M.D. (PRESIDENT)
(727) 734-6932
Entity
Organization

Contact information

Practice address
3439 PINE RIDGE RD, NAPLES, FL 34109-3884
(727) 734-6932
(727) 734-4516
Mailing address
3439 PINE RIDGE RD, NAPLES, FL 34109-3884
(727) 734-6932
(727) 734-4516

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME96802
FL

Other

Enumeration date
01/09/2015
Last updated
01/18/2016
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