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Individual

PRAVEEN KRISHNADAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3201 MEDICAL WAY, SUITE 101, SEBRING, FL 33870-5412
(863) 382-0770
(863) 471-9968
Mailing address
3201 MEDICAL WAY, SUITE 101, SEBRING, FL 33870-5412
(863) 382-0770
(863) 471-9968

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME83409
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
266227200
FL
01
47941
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
05/26/2006
Last updated
01/19/2011
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