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Individual

DR. VIKRAM DEVEGOWDA GOPAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4800 BELFORT ROAD, 2ND FLOOR, JACKSONVILLE, FL 32256
(904) 398-7205
(904) 396-4047
Mailing address
4800 BELFORT ROAD, JACKSONVILLE, FL 32256
(904) 398-3262
(904) 265-4807

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME87348
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
275758300
FL
Enumeration date
04/07/2006
Last updated
02/26/2013
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