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Shree Anitha Prasanna PA

Durable Medical Equipment & Medical Supplies, Customized Equipment in Melbourne, FL. Organization (NPI-2).

NPI number1164083564
StatusActive
Last updated in NPPESFeb 24, 2025

Details

NPI
1164083564
Entity type
Organization (NPI-2)
Legal business name
Shree Anitha Prasanna PA
Organization subpart
No
Enumeration date
Jun 26, 2019
Certification date
Feb 24, 2025
Last updated
Feb 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment––Yes

Practice location

2955 Pineda Plaza Way
Melbourne, FL 32940-7318

Phone 321-267-3304

Mailing address

2955 Pineda Plaza Way Ste 108
Melbourne, FL 32940-7306

Phone 321-267-3304

Authorized official

Shree Prasana
Owner
3212673304

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