Individual
SHEENA PRAMOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-9180
Mailing address
PO BOX 100224, GAINESVILLE, FL 32610-0224
(352) 273-9180
(352) 392-5465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26090
WV
207R00000X
Internal Medicine Physician
MT190010
PA
207RN0300X
Nephrology Physician
26090
WV
207RN0300X
Nephrology Physician
Primary
ME157148
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810029851
—
WV
Enumeration date
06/18/2008
Last updated
01/27/2023
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