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Individual

MRS. ARCHANA ANAND WATANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
801 WEST OAK STREET, SUITE 101, KISSIMMEE, FL 34741
(407) 846-3455
(407) 846-3670
Mailing address
801 WEST OAK STREET, SUITE 101, KISSIMMEE, FL 34741
(407) 846-3455
(407) 846-3670

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME81169
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
263879700
FL
Enumeration date
10/05/2005
Last updated
05/28/2019
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