Individual
HARISH KASETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1801 LEE RD STE 115-175, WINTER PARK, FL 32789-2162
(866) 400-3376
(407) 647-5496
Mailing address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172
(866) 400-3376
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9114914
FL
Other
Enumeration date
09/29/2021
Last updated
01/10/2025
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