Individual
PROMIL KUKREJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
62 COLUMBIA ST, ORLANDO, FL 32806-1115
(407) 514-3668
(321) 843-2196
Mailing address
62 COLUMBIA ST, ORLANDO, FL 32806-1115
(407) 514-3668
(321) 843-2196
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
29673
AL
207L00000X
Anesthesiology Physician
Primary
ME166096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122330500
—
FL
Enumeration date
11/05/2006
Last updated
01/31/2025
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