Avantica Gondi is a Family Medicine in Lakeland, Florida. Avantica Gondi practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Avantica Gondi is 1063673812. The last update date is 2017-01-19.
Avantica Gondi's current location address is 1818 Harden Blvd, Lakeland, Florida. You can contact this provider via phone number 8632105640 and fax number 8632105716. The mailing address for Avantica Gondi is 1818 Harden Blvd, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Avantica Gondi |
|---|---|
| Address | 1818 Harden Blvd, Lakeland, Florida |
| Phone Number | 8632105640 |
| Fax Number | 8632105716 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063673812 |
|---|---|
| Provider Enumeration Date | 2008-06-24 |
| Last Updated Date | 2017-01-19 |
Provider Mailing Address Detail
| Address | 1818 Harden Blvd |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 338031812 |
| Phone Number | 8632105640 |
| Fax Number | 8632105716 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME 104474 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1481700 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Avantica Gondi by the Centers for Medicare & Medicaid Services?
The Avantica Gondi has been assigned the NPI (National Provider Identifier) 1063673812 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Avantica Gondi?
The Avantica Gondi is physically situated at 1818 Harden Blvd, in the city of Lakeland, state of FL, with the postal code 338031812.
What is the Avantica Gondi's area of specialization and corresponding taxonomy classification?
The Avantica Gondi's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When did Avantica Gondi receive its 1063673812 assignment?
The Avantica Gondi was assigned its 1063673812 on 2008-06-24, which is the date when this unique identifier was issued to the organization.
When was the information related to Avantica Gondi most recently updated or refreshed?
The details pertaining to the Avantica Gondi, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-01-19.
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