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Organization
GOPAL & SAROJ BASISHT PTR
Active
Organization
GOPAL & SAROJ BASISHT PTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOPAL K BASISHT M.D. (OWNER)
(407) 423-5520
Entity
Organization
Contact information
Practice address
1300 EDGEWATER DR, ORLANDO, FL 32804-6351
(407) 423-5520
Mailing address
1300 EDGEWATER DR, ORLANDO, FL 32804-6351
(407) 423-5520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0027659
FL
207RR0500X
Rheumatology Physician
ME0027658
FL
Other
Enumeration date
06/24/2008
Last updated
12/02/2008
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