| Gautam Ganguly, | |
|
3775 N Lecanto Hwy, Beverly Hills, FL 34465-3559 | |
| (352) 746-0600 | |
| (352) 746-0607 |
| Full Name | Gautam Ganguly |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 27 Years |
| Location | 3775 N Lecanto Hwy, Beverly Hills, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669849824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 019167 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | ACN1448 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| Adventhealth Deland | Deland, FL | Hospital |
| Entity Name | Roy H Hinman Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649383845 PECOS PAC ID: 3173584174 Enrollment ID: O20041022000798 |
| Entity Name | Island Doctors Intrastate Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568083889 PECOS PAC ID: 5395161186 Enrollment ID: O20200811001733 |
| Mailing Address | Practice Location Address |
|---|---|
| Gautam Ganguly, Po Box 640573, Ste 146, Beverly Hills, FL 34464-0573 Ph: (352) 746-0600 | Gautam Ganguly, 3775 N Lecanto Hwy, Beverly Hills, FL 34465-3559 Ph: (352) 746-0600 |
Dr. Odelsa Diaz Andres, M.D General Practice Medicare: Accepting Medicare Assignments Practice Location: 6279 N Lecanto Hwy, Beverly Hills, FL 34465 Phone: 352-522-0094 Fax: 352-522-0098 | |
Dr. Juan Galvan, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 6279 N Lecanto Hwy, Beverly Hills, FL 34465 Phone: 352-522-0094 Fax: 352-522-0098 | |
Francis J Mercado-miranda, MD General Practice Medicare: May Accept Medicare Assignments Practice Location: 6279 N Lecanto Hwy, Beverly Hills, FL 34465 Phone: 352-522-0094 Fax: 352-522-0098 |