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Organization

KENNY CHANTASI DO PLLC

Active
Other names
PrimeCell Regenerative
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNY CHANTASI DO (OWNER)
(917) 832-4912
Entity
Organization

Contact information

Practice address
2295 S HIAWASSEE RD STE 410, ORLANDO, FL 32835-8747
(917) 832-4912
Mailing address
2295 S HIAWASSEE RD STE 410, ORLANDO, FL 32835-8747

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Enumeration date
04/01/2025
Last updated
02/25/2026
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