Organization
GOPAL TATAMBHOTLA MD PA
Active
Organization
GOPAL TATAMBHOTLA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOPAL TATAMBHOTLA MD (OWNER)
(352) 527-9500
Entity
Organization
Contact information
Practice address
534 N LECANTO HWY, LECANTO, FL 34461-8547
(352) 527-9500
(352) 527-7215
Mailing address
PO BOX 700, LECANTO, FL 34460-0700
(352) 527-9500
(352) 527-7215
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME72857
FL
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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