Healthcare Provider Details

I. General information

NPI: 1568598159
Provider Name (Legal Business Name): NEIL K SANGHVI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-4392
US

IV. Provider business mailing address

3901 UNIVERSITY BLVD S SUITE 221
JACKSONVILLE FL
32216-4392
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-9079
  • Fax: 352-273-8889
Mailing address:
  • Phone: 904-423-0010
  • Fax: 904-423-0012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number247537-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number247537-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME119157
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number247537
License Number StateNY
# 5
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberME119157
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: