Organization
ATLANTIS INTEGRATED MULTISPECIALTY CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GANESH ARORA PH.D (PRESIDENT)
(352) 861-4602
Entity
Organization
Contact information
Practice address
3233 SW 33RD RD, SUITE 301, OCALA, FL 34474-8470
(352) 861-4602
(352) 237-4126
Mailing address
PO BOX 140970, GAINESVILLE, FL 32614-0970
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE PROVIDER NUMBER
FL
Enumeration date
11/28/2016
Last updated
04/05/2017
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