Individual
MR. PRAFULLA KAMALAKAR KIRTANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 N. WESTMONTE DR, SUITE #1000, ALTAMONTE SPRINGS, FL 32714
(407) 788-7844
(407) 682-6071
Mailing address
P.O. BOX 160127, ALTAMONTE SPRINGS, FL 32716-0127
(407) 788-7844
(407) 682-6071
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0037121
FL
207RG0100X
Gastroenterology Physician
Primary
ME37121
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065091900
—
FL
Enumeration date
10/18/2005
Last updated
12/07/2009
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