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Individual

DR. PRAVEEN KANAPARTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
521 W STATE ROAD 434 STE 308, LONGWOOD, FL 32750-5166
(321) 841-6444
(321) 842-1955
Mailing address
521 W STATE ROAD 434 STE 308, LONGWOOD, FL 32750-5166
(321) 841-6444
(321) 842-1955

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME94964
FL
207UN0901X
Nuclear Cardiology Physician
ME94964
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
275668400
FL
01
P00316397
RAILROAD MEDICARE
FL
Enumeration date
08/02/2005
Last updated
02/28/2025
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