Healthcare Provider Details

I. General information

NPI: 1821528134
Provider Name (Legal Business Name): SUHEL ABBAS SABUNWALA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2017
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

PO BOX 100289
GAINESVILLE FL
32610-0277
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-9804
  • Fax: 352-392-6481
Mailing address:
  • Phone: 352-273-9804
  • Fax: 352-392-6481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number64641
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME172511
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: