Organization
OCALA INTENSIVIST GROUP LLC
Active
Organization
OCALA INTENSIVIST GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIL KUMAR GOGINENI M.D. (PHYSICIAN)
(352) 732-5552
Entity
Organization
Contact information
Practice address
1431 SW 1ST AVE, OCALA, FL 34471-6500
(352) 732-5552
(352) 732-1131
Mailing address
1834 SW 1ST AVE, SUITE101, OCALA, FL 34471-8100
(352) 732-5552
(352) 732-1131
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
10/22/2015
Last updated
02/04/2016
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