MEDICARE: KHUSHBU DALSANIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	ARNP9432273	FL

General Provider Information

NPI Number	:	1336652023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KHUSHBU DALSANIA

Provider Business Mailing Address
First Line	:	3632 LAND O LAKES BLVD STE 101
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34639-4407
Country	:	US
Telephone Number	:	813-606-5668
Fax Number	:

Provider Business Practice Location Address
First Line	:	3632 LAND O LAKES BLVD STE 101
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34639-4407
Country	:	US
Telephone Number	:	813-606-5668
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2017
Last Update Date	:	06/02/2026

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Directions to “ KHUSHBU DALSANIA ” Practice Location

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