Individual
DR. GRACE V SARVOTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
630 MAIN ST, ALTAMONTE SPRINGS, FL 32701-6413
(407) 339-6148
(407) 339-0254
Mailing address
918 CANTON ST, ORLANDO, FL 32803-3207
(407) 339-6148
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME42498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068265900
—
FL
Enumeration date
07/16/2006
Last updated
03/07/2013
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