Individual
DR. SUMALATHA GANGINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2243 NORTH BLVD W, DAVENPORT, FL 33837-8990
(863) 353-1394
(863) 638-5722
Mailing address
4354 DUCK DOWN LN, WINTER HAVEN, FL 33884-3293
(863) 968-3635
(863) 638-5722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME101106
FL
207RI0200X
Infectious Disease Physician
Primary
ME101106
FL
Other
Enumeration date
07/23/2008
Last updated
10/23/2019
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