Bastion Medical Practice of Florida, P.a.

NPI #1083330930 in Farmington, Connecticut

Provider Information

NPI Number: 1083330930
Entity Type: Organization
Organization Name: Bastion Medical Practice of Florida, P.a.
Primary Specialty: Urology
Enumeration Date: Oct 12, 2022
Last Updated: Oct 12, 2022

Practice Location

Address: 400 FARMINGTON AVE
City: Farmington
State: Connecticut
ZIP Code: 06032-1913
Phone: (786) 220-0003

Authorized Official

Name: DR. VASANTH KAINKARYAM, MD
Title: PRESIDENT
Phone: (786) 220-0003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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