Search › Florida › 183500000X
Pavan Kumar Banoth
NPI 1245661032 · on the registry since 2013 · sole proprietor
Practice
- Address
- 3538 Blanding Blvd
Jacksonville, FL 32210 - Phone
- (904) 778-7200
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-12-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida