Individual
SINA IMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
52 UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 841-5210
Mailing address
2673 SUGAR PINE RUN, OVIEDO, FL 32765-9647
(407) 421-4077
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
966
FL
Other
Enumeration date
06/27/2024
Last updated
09/18/2024
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