Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gautam Ganguly

Individual provider General Practice Physician · NPI 1669849824

Gautam Ganguly is a General Practice in Beverly Hills, Florida. Qualified in 1998, 28 years ago. Practices with West Florida Medical Associates, PA, a 24-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Puerto Rico.

Years since qualifying
28
Licensed in
FL, PR
In the registry since
2015
Specialties on file
2

Practice location Address checks out

3775 N Lecanto Hwy
Beverly Hills, FL 34465-3559
Phone: (352) 746-0600
Fax: (352) 746-0607
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3775 N Lecanto Hwy, Beverly Hills, FL 34465-3559 — (352) 746-0600
  • 1542 Kingsley Ave Ste 146, Orange Park, FL 32073-4547 — (904) 269-2990

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN1448 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 019167 (PR)

Record details

NPI number1669849824
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 24, 2015
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice West Florida Medical Associates, Pa — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Beverly Hills