Mid-Florida Gastroenterology Group P A
Mid-Florida Gastroenterology Group P A is a Specialist in Sanford, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
Practice location Address checks out
311 N Mangoustine AveSanford, FL 32771-1098
Phone: (407) 321-4570
Fax: (407) 321-7690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence ME0037029 (FL) |
|---|
Record details
| NPI number | 1841474103 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lenkala Mallaiah — President · (407) 321-4570 |
| NPI enumerated | December 21, 2007 |
| Last updated in NPPES | September 20, 2010 |
| Mailing address | 311 N Mangoustine Ave, Sanford, FL 32771-1098 |
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