Individual
DR. MARY KAVITHA VANGALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9430 TURKEY LAKE RD STE 110, ORLANDO, FL 32819-8015
(321) 841-7856
(321) 843-6432
Mailing address
9430 TURKEY LAKE RD STE 110, ORLANDO, FL 32819-8015
(321) 841-7856
(321) 843-6432
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME107710
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME107710
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002912400
—
FL
01
—
ME107710
MEDICAL LICENSE
FL
Enumeration date
04/01/2009
Last updated
04/08/2024
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