Organization
ATLANTIS INTEGRATED MULTISPECIALTY CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GANESH ARORA PH.D (PRESIDENT)
(352) 391-6190
Entity
Organization
Contact information
Practice address
11950 COUNTY ROAD 101, THE VILLAGES, FL 32162-9332
(352) 391-6190
(352) 391-6199
Mailing address
PO BOX 140970, GAINESVILLE, FL 32614-0970
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE PROVIDER NUMBER
FL
Enumeration date
11/23/2016
Last updated
04/05/2017
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