Individual
LATHA GANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-5911
(352) 265-5606
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-5911
(352) 265-5606
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
213325
NY
207P00000X
Emergency Medicine Physician
Primary
ME107260
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03095181
—
NY
05
—
138402300
—
MN
Enumeration date
02/15/2006
Last updated
09/08/2014
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