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Individual

AVINASH G KUMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8000 SR 64 E, BRADENTON, FL 34212
(941) 792-1404
(941) 761-0712
Mailing address
8000 SR 64 E, BRADENTON, FL 34212
(941) 792-1404
(941) 761-0712

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME 82887
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME 82887
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1285740720
GROUP NPI
FL
01
50000
BCBS FL
FL
01
P00169664
RAILRAOAD MEDICARE
FL
Enumeration date
02/28/2006
Last updated
05/25/2022
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