Individual
PANKTI THAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
40100 HIGHWAY 27, DAVENPORT, FL 33837-5906
(863) 422-4971
Mailing address
40100 HIGHWAY 27, DAVENPORT, FL 33837-5906
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11039897
FL
Other
Enumeration date
02/24/2025
Last updated
07/21/2025
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