Individual
SUMITA BHADURI-MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD BOX 100296, GAINESVILLE, FL 32610-1526
(352) 294-5252
(352) 294-8068
Mailing address
1600 SW ARCHER RD BOX 100296, GAINESVILLE, FL 32610-0296
(352) 294-5252
(352) 294-8068
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
039480
CT
2080P0208X
Pediatric Infectious Diseases Physician
Primary
ME133276
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021896200
—
FL
Enumeration date
11/14/2005
Last updated
10/09/2017
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