Organization
PEDIATRIC GASTROENTEROLOGY OF CENTRAL FLORIDA PA
Active
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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