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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