Individual
DR. KAMLESH PRANSHANKER PANDYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 NEBRASKA AVE STE 202, FORT PIERCE, FL 34950-4832
(772) 460-1510
(772) 460-1509
Mailing address
2100 NEBRASKA AVE STE 202, FORT PIERCE, FL 34950-4832
(772) 460-1510
(772) 460-1509
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME0059031
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051911100
—
FL
Enumeration date
12/06/2006
Last updated
05/01/2019
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