Individual
MR. RICARDO V KANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
11811 N DALE MABRY HWY, TAMPA, FL 33618-3505
(813) 357-5915
Mailing address
11811 N DALE MABRY HWY, TAMPA, FL 33618-3505
(813) 357-5915
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN3208862
FL
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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