Individual
DR. AMIRALI R BHALWANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1718 LEXINGTON GREEN LN, SANFORD, FL 32771-1018
(407) 268-9661
(407) 268-9664
Mailing address
10051 5TH ST N, SUITE 200, ST PETERSBURG, FL 33702-2289
(407) 268-9661
(407) 268-9664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME87290
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267093300
—
FL
01
—
P01305633
RAILROAD MEDICARE
FL
Enumeration date
05/23/2006
Last updated
12/13/2016
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