KAN ANESTHESIA,LLC
Medical Practice at Pine Ridge Rd, Naples, FL

License number
Florida ME96802
Category
Medical Practice
Type
Specialist
Owner
Name: DR. PRATHIMA MOORTHY M.D.
Title: PRESIDENT
Phone: (727) 734-6932
Address
Address
3439 Pine Ridge Rd, Naples, FL 34109
National Provider ID: 1215326566
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KAN ANESTHESIA, LLC

3439 Pne Rdg Rd, Naples, FL 34109

Registration:
Jan 6, 2015
State ID:
L15000002218
Business type:
Florida Limited Liability Company
Managers:
Shardul Nanavati (Manager), 3439 Pne Rdg Rd, Naples, FL 34109 (Physical),Prathima Moorthy (Manager), 3439 Pne Rdg Rd, Naples, FL 34109 (Physical)
Agent:
Kirwan, Adam,301 N Ferncreek Ave STE C, Orlando, FL 32803 (Physical)
EIN:
NO-NE

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