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Individual

GEMMA GULATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
6901 SIMMONS LOOP FL MS 80664, RIVERVIEW, FL 33578-9498
(813) 302-8388
(813) 302-8453
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
80326
GA
207R00000X
Internal Medicine Physician
ME141329
FL
208M00000X
Hospitalist Physician
Primary
ME141329
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107104400
FL
01
SW5LA
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/24/2016
Last updated
11/02/2024
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