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Individual

DR. GAURAV PURANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1403 MEDICAL PLAZA DR STE 106, SANFORD, FL 32771-1085
(407) 328-1575
(407) 328-1577
Mailing address
1403 MEDICAL PLAZA DR STE 106, SANFORD, FL 32771-1085
(407) 328-1575

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME123574
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115899200
FL
01
PV363
HF MA
FL
Enumeration date
12/01/2013
Last updated
11/16/2022
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