Ganguly, Gautam
Ganguly, Gautam is an sole proprietor health care provider with primary practice located at 1542 Kingsley Ave Ste 146 , Orange Park FL 32073-4547. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Ganguly, Gautam can be contacted via phone (904) 269-2990.Contact Information
Primary practice address
1542 Kingsley Ave Ste 146
Orange Park FL 32073-4547
Phone: (904) 269-2990
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ACN1448 | Florida |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 019167 | Puerto Rico |
Profile Details
| NPI number | 1669849824 |
|---|---|
| LBN Legal business name | Ganguly, Gautam |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2015 |
| Last updated | Jul 19th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Patel, Natasha Rajiv
2001 Kingsley Ave , Orange Park FL 32073-5156 -
Hernandez, Ricardo Antonio
3890 Turtle Creek Dr , Port Orange FL 32127-9358 -
Ortiz, Nancy D
747 Fawn Ridge Dr Ste 200 , Orange City FL 32763-8268 -
Figueroa, Danisha Giselle
1536 Kingsley Ave Ste 118 , Orange Park FL 32073-4525 -
Sterchele, Alayna
2001 Kingsley Ave , Orange Park FL 32073-5148 -
Martinez, Enercida
4090 S Ridgewood Ave , Port Orange FL 32127-4501 -
Alla, Martin
2001 Kingsley Ave , Orange Park FL 32073-5156 -
Mutch, Elizabeth Margaret
986 Wendam Ct , Port Orange FL 32127-9331