Organization
FLORIDA CHILDREN'S CENTER OF GASTROENTEROLOGY, LLC
Active
Organization
FLORIDA CHILDREN'S CENTER OF GASTROENTEROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY KHUBCHANDANI MD (PHYSICIAN/OWNER)
(407) 438-3557
Entity
Organization
Contact information
Practice address
6735 CONROY WINDERMERE RD, SUITE 226, ORLANDO, FL 32835-3565
(407) 438-3557
(407) 438-3558
Mailing address
6735 CONROY WINDERMERE RD, SUITE 226, ORLANDO, FL 32835-3565
(407) 438-3557
(407) 438-3558
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003522800
—
FL
Enumeration date
02/01/2010
Last updated
07/27/2014
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