Organization
GRACE SARVOTHAM MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEENA PARVEZ (ADMINISTRATOR)
(407) 339-6148
Entity
Organization
Contact information
Practice address
630 MAIN ST, ALTAMONTE SPRINGS, FL 32701-6413
(407) 339-6148
(407) 339-0254
Mailing address
630 MAIN ST, ALTAMONTE SPRINGS, FL 32701-6413
(407) 339-6148
(407) 339-0254
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
ME42498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068265900
—
FL
Enumeration date
07/11/2012
Last updated
07/11/2012
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