Individual
BEENA KAITHAMATTOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 WEST OAK STREET, OSCEOLA REGIONAL MEDICAL CENTER, KISSIMMEE, FL 34741
(407) 518-3553
Mailing address
1613 N HARRISON PKY #200, SUNRISE, FL 33323
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 9308536
FL
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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