Individual
ANITA GOPALAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1920 DON WICKHAM DR STE 335, CLERMONT, FL 34711-1978
(321) 841-7856
Mailing address
1920 DON WICKHAM DR STE 335, CLERMONT, FL 34711-1978
(321) 841-7856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
390200000
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME145442
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME145442
FL
Other
Enumeration date
04/02/2016
Last updated
08/21/2023
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