Organization
PEDIATRIC GASTROENTEROLOGY OF CENTRAL FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANGEETA BHARGAVA MD (OWNER)
(407) 898-1210
Entity
Organization
Contact information
Practice address
615 E PRINCETON ST, SUITE 510, ORLANDO, FL 32803-1456
(407) 898-1210
(407) 898-2920
Mailing address
PO BOX 691594, ORLANDO, FL 32869
(407) 898-1210
(407) 898-2909
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME67768
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278363100
—
FL
Enumeration date
07/12/2006
Last updated
03/17/2014
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