Individual
DR. ANITHA MOGALLAPU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
725 N 12TH AVE BLDG B, ARCADIA, FL 34266-8752
(239) 936-5250
(239) 936-9970
Mailing address
PO BOX 780327, ORLANDO, FL 32878-0327
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME113153
FL
Other
Enumeration date
05/27/2012
Last updated
02/06/2019
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