Individual
AMRUTH SAGAR BAPATLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6041 SW 73RD STREET RD, OCALA, FL 34476-6464
(352) 369-2040
Mailing address
6041 SW 73RD STREET RD, OCALA, FL 34476-6464
(352) 369-2040
(352) 369-2045
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0069028
FL
174400000X
Specialist
ME69028
FL
207R00000X
Internal Medicine Physician
ME69028
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME69028
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378791500
—
FL
Enumeration date
06/21/2006
Last updated
03/18/2021
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