NPI 1386177806

Shree Anitha Prasanna PA

Organisation Customized Equipment (DME) Titusville, FL

Practice location

Address: 1490 Cheney Hwy, Titusville, FL 32780-6250
Phone: (321) 267-3304
Fax: (321) 267-9191

Authorised official

Name: Shree a Prasanna
Title: Owner
Phone: (321) 267-3304

Registered specialties

Customized Equipment (DME) Primary

Suppliers Taxonomy 332BC3200X Licence DN16818 (FL)

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Registry record

NPI: 1386177806
Entity type: Organization
NPI issued: 11 Apr 2017
Record last updated: 24 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.