SHREE ANITHA PRASANNA PA NPI 1194199364

NPI Information

  • NPI: 1194199364
  • Provider Name: SHREE ANITHA PRASANNA PA
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • :
  • Address: 1490 CHENEY HWY
    TITUSVILLE, FL
    ZIP 32780
  • Phone: (321) 267-3304

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NPI Details

SHREE ANITHA PRASANNA PA is a customized equipment durable medical equipment medical supplies in Titusville, FL. SHREE ANITHA PRASANNA PA NPI is 1194199364. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

1490 CHENEY HWY
TITUSVILLE, FL
ZIP 32780-250
Phone: (321) 267-3304
Fax: (321) 267-9191

The provider's authorized official is Shree Anitha Prasanna .
The authorized official title is Administrator Officer and has the following contact phone number (321) 268-0108.

The enumeration date for this NPI number is 11/25/2015 and was last updated on 3/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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