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Individual

DR. SUPARNA THIND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13782 PLANTATION RD STE 104, FORT MYERS, FL 33912-4462
(239) 689-8684
Mailing address
13782 PLANTATION RD STE 104, FORT MYERS, FL 33912-4462
(239) 689-8684

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
37592
AL
207RN0300X
Nephrology Physician
Primary
ME149974
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114753100
FL
05
224185
AL
01
A04519A
MEDICARE
AL
01
ME149974
FL MEDICAL LICENSE
FL
Enumeration date
05/10/2013
Last updated
08/25/2022
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