Organization · Type 2 NPI
Shree Anitha Prasanna PA
Customized Equipment (DME) · Melbourne, FL
NPI number
1164083564
Active
Practice location
2955 Pineda Plaza Way
Melbourne, FL 32940-7318
Mailing address
2955 Pineda Plaza Way Ste 108
Melbourne, FL 32940-7306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
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About NPI 1164083564
Shree Anitha Prasanna PA's National Provider Identifier is 1164083564, issued on Jun 26, 2019. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Melbourne, FL. The record was last updated on Feb 24, 2025.