Individual
DR. SANJIV PRAVIN AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
34041 US HIGHWAY 19 N, SUITE A, PALM HARBOR, FL 34684-2648
(727) 786-0017
(727) 786-7521
Mailing address
34041 US HIGHWAY 19 N, SUITE A, PALM HARBOR, FL 34684-2648
(727) 786-0017
(727) 786-7521
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OS8939
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267419000
—
FL
Enumeration date
07/08/2005
Last updated
12/07/2009
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