San Thawalanthanne, - Counselor in Longwood, FL

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San Thawalanthanne, is a Nurse Practitioner - Psychiatric/mental Health based in Longwood, Florida. San Thawalanthanne is licensed to practice in Florida (license number 11031100) and his current practice location is 2290 N Ronald Reagan Blvd Ste 116, Longwood, Florida. He can be reached at his office (for appointments etc.) via phone at (407) 215-0095.

NPI number for San Thawalanthanne is 1275397622 and his current mailing address is 1000 S Lake Dr, Clearwater, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275397622.

Contact Information

San Thawalanthanne,
2290 N Ronald Reagan Blvd Ste 116,
Longwood, FL 32750-3534
(407) 215-0095
(407) 261-0523

Map and Direction


Healthcare Provider's Profile

Full NameSan Thawalanthanne
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2290 N Ronald Reagan Blvd Ste 116, Longwood, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275397622
  • Provider Enumeration Date: 02/07/2024
  • Last Update Date: 11/04/2024

Medical Identifiers

Medical identifiers for San Thawalanthanne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275397622NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 11031100 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. San Thawalanthanne is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
San Thawalanthanne,
1000 S Lake Dr,
Clearwater, FL 33756-4415

Ph: (815) 451-2897		San Thawalanthanne,
2290 N Ronald Reagan Blvd Ste 116,
Longwood, FL 32750-3534

Ph: (407) 215-0095

Reviews and Comments


Nurse Practitioner in Longwood, FL


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