Individual
DR. SURESH KANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
76 UNDERWOOD ST STE 100, ORLANDO, FL 32806-1110
(321) 841-1570
(321) 841-1569
Mailing address
76 UNDERWOOD ST STE 100, ORLANDO, FL 32806-1110
(321) 841-1570
(321) 841-1569
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME83847
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME83847
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128461300
—
FL
01
—
17042
BCBS
FL
05
—
264524600
—
FL
Enumeration date
12/27/2005
Last updated
12/22/2025
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