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SHREE ANITHA PRASANNA PA
NPI 1194199364
Durable Medical Equipment & Medical Supplies - Customized Equipment in Titusville, FL

Active since November 25, 2015
1490 CHENEY HWY, TITUSVILLE, FL 32780(321) 267-3304(321) 267-9191 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2025, Feb 21, 2025, Feb 24, 2021 and 1 more (4 updates tracked since 2015).

About Shree Anitha Prasanna Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHREE ANITHA PRASANNA PA (NPI 1194199364), doing business as Space Coast Dentistry, is a healthcare organization registered as a customized equipment in Titusville, Florida and active in the NPI registry since November 2015. The organization lists Shree Anitha Prasanna, Administrator Officer, as its authorized official.

NPPES Registry Identity

NPI1194199364
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameSHREE ANITHA PRASANNA PA
Location Address1490 CHENEY HWYTitusville, FL 32780-6250
Mailing Address1490 Cheney HwyTitusville, FL 32780-6250 · (321) 267-3304 · Fax (321) 267-9191
Phone(321) 267-3304
Fax(321) 267-9191
Organization SubpartNo
Authorized OfficialShree Anitha PrasannaAdministrator Officer · (321) 268-0108
Enumeration DateNovember 25, 2015
Last NPPES UpdateMarch 28, 20254 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1194199364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
1490 CHENEY HWY, Titusville, FL 32780
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Other Names 1

Doing Business AsSpace Coast Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANITHA PRASANNA DMD
Dentist
1490 CHENEY HWY
TITUSVILLE, FL 32780
Brevard County (321) 267-3304
SHREE ANITHA PRASANNA PA
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1490 CHENEY HWY
TITUSVILLE, FL 32780
Brevard County (321) 267-3304
DR. JAMES M. THOMAS DDS
Dentist (General Practice)
1490 CHENEY HWY
TITUSVILLE, FL 32780
Brevard County (321) 267-3304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shree Anitha Prasanna PA's NPI number?

The NPI number for Shree Anitha Prasanna PA is 1194199364. It was assigned to this organization in the NPPES registry on November 25, 2015. The provider is doing business as Space Coast Dentistry.

Where is Shree Anitha Prasanna PA located?

Shree Anitha Prasanna PA is located at 1490 Cheney Hwy, Titusville, FL 32780. The listed phone number is (321) 267-3304.

What is Shree Anitha Prasanna PA's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Shree Anitha Prasanna PA was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.