Individual
DR. KENNY CHANTASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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
(917) 832-4912
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
259456
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
OS22127
FL
Other
Enumeration date
05/29/2008
Last updated
02/25/2026
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