Organization
CLERMONT ONCOLOGY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOPAL KUNTA MD (PRESIDENT)
(904) 305-0299
Entity
Organization
Contact information
Practice address
1361 CITRUS TOWER BLVD, SUITE 202, CLERMONT, FL 34711-1924
(352) 242-1366
(352) 242-1372
Mailing address
1361 CITRUS TOWER BLVD, SUITE 202, CLERMONT, FL 34711-1924
(352) 242-1366
(352) 242-1372
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME91372
FL
Other
Enumeration date
05/06/2014
Last updated
12/10/2014
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