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Individual

ANASUA TORI BANDYOPADHYAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1925 MIZELL AVE STE 104, WINTER PARK, FL 32792-4155
(407) 628-3073
Mailing address
1925 MIZELL AVE STE 104, WINTER PARK, FL 32792-4155
(407) 628-3073

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.007847RX
OH
363A00000X
Physician Assistant
Primary
PA9120016
FL
363AM0700X
Medical Physician Assistant
50.007547RX
OH

Other

Enumeration date
08/28/2021
Last updated
07/03/2025
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