Organization
J.P.GADIKOTA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYA PRAKASH GADIKOTA (MD)
(352) 281-4323
Entity
Organization
Contact information
Practice address
40 SW 12TH ST, SUITE 101 B, OCALA, FL 34471-6525
(352) 622-1344
Mailing address
40 SW 12TH ST, SUITE 101 B, OCALA, FL 34471-6525
(352) 622-1344
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME106624
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002441600
—
FL
Enumeration date
12/21/2010
Last updated
11/10/2011
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