Organization
CENTRAL FLORIDA INTENSIVIST GROUP, LLC
Active
Organization
CENTRAL FLORIDA INTENSIVIST GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIL GOGINENI MD (REGISTERED AGENT)
(352) 732-5552
Entity
Organization
Contact information
Practice address
1451 EL CAMINO REAL, THE VILLAGES, FL 32159-0041
(352) 732-5552
(352) 732-1131
Mailing address
1834 SW 1ST AVE STE 101, OCALA, FL 34471-8101
(352) 732-5552
(352) 732-1131
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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