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Organization

ORLANDO GASTROENTEROLOGY, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SRIKIRAN POTHAMSETTY M.D. (PRESIDENT)
(407) 445-9224
Entity
Organization

Contact information

Practice address
1507 S HIAWASSEE RD, STE# 105, ORLANDO, FL 32835-5718
(407) 445-9224
(407) 445-6236
Mailing address
1507 S HIAWASSEE RD, STE# 105, ORLANDO, FL 32835-5718
(407) 445-9224
(407) 445-6236

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME82603
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
263820700
FL
Enumeration date
09/14/2006
Last updated
01/03/2013
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