Organization
SHREE ANITHA PRASANNA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHREE A PRASANNA (OWNER)
(321) 267-3304
Entity
Organization
Contact information
Practice address
1490 CHENEY HWY, TITUSVILLE, FL 32780-6250
(321) 267-3304
(321) 267-9191
Mailing address
1490 CHENEY HWY, TITUSVILLE, FL 32780-6250
(321) 267-3304
(321) 267-9191
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
DN16818
FL
Other
Enumeration date
04/11/2017
Last updated
02/24/2025
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