| J.p.gadikota Corp | |
|
40 Sw 12th St Suite 101 B Ocala FL 34471-6525 | |
| (352) 622-1344 | |
| Not Available |
| Full Name | J.p.gadikota Corp |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 40 Sw 12th St, Ocala, Florida |
| Authorized Official Name and Position | Jaya Prakash Gadikota (MD) |
| Authorized Official Contact | 3522814323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J.p.gadikota Corp 40 Sw 12th St Suite 101 B Ocala FL 34471-6525 Ph: (352) 622-1344 | J.p.gadikota Corp 40 Sw 12th St Suite 101 B Ocala FL 34471-6525 Ph: (352) 622-1344 |
| NPI Number | 1407159031 |
|---|---|
| Provider Enumeration Date | 12/21/2010 |
| Last Update Date | 11/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407159031 | NPI | - | NPPES |
| 002441600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME106624 (Florida) | Primary |
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