Individual
DR. GOPAL TATAMBHOTLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
534 N LECANTO HWY, LECANTO, FL 34461-8547
(352) 527-9500
(352) 527-7215
Mailing address
PO BOX 700, LECANTO, FL 34460-0700
(352) 527-9500
(352) 527-7215
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME72857
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252002800
—
FL
Enumeration date
12/29/2006
Last updated
03/23/2017
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