Individual
DR. BHASKAR N/A GOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 WESTHALL LN STE 4, MAITLAND, FL 32751-7102
(407) 200-2355
(407) 200-4947
Mailing address
500 MEMORIAL CIR, SUITE B, ORMOND BEACH, FL 32174-5071
(386) 673-8040
(386) 267-0693
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0086970
FL
Other
Enumeration date
04/21/2006
Last updated
07/02/2025
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