MID-FLORIDA GASTROENTEROLOGY GROUP P A is a specialist in Sanford, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MID-FLORIDA GASTROENTEROLOGY GROUP P A NPI is 1841474103. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
311 N MANGOUSTINE AVE
SANFORD, FL
ZIP 32771-098
Phone: (407) 321-4570
Fax: (407) 321-7690
The provider's authorized official is Lenkala Reddy Mallaiah .
The authorized official title is President and has the following contact phone number (407) 321-4570.
The enumeration date for this NPI number is 12/21/2007 and was last updated on 9/20/2010.