Individual
DR. GAURAV VIJAI MALHOTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3378 MARINER BLVD, SPRING HILL, FL 34609-2460
(352) 796-7171
(352) 556-4889
Mailing address
3378 MARINER BLVD, SPRING HILL, FL 34609-2460
(352) 796-7171
(352) 678-5300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0076833
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256108500
—
FL
01
—
44484
BCBS
FL
Enumeration date
12/01/2006
Last updated
02/16/2024
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