Individual
KAVITA KHORRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1010 N CHURCH AVE, MULBERRY, FL 33860-2040
(866) 234-8534
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(866) 234-8534
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119439000
—
FL
Enumeration date
07/24/2023
Last updated
05/08/2026
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