Healthcare Provider Details

I. General information

NPI: 1598036527
Provider Name (Legal Business Name): 7 HILLS GASTROENTEROLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2012
Last Update Date: 01/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 SE 12TH ST BUILDING #200
OCALA FL
34471-3774
US

IV. Provider business mailing address

316 SE 12TH ST BUILDING #200
OCALA FL
34471-3774
US

V. Phone/Fax

Practice location:
  • Phone: 352-401-1919
  • Fax: 352-351-4305
Mailing address:
  • Phone: 352-401-1919
  • Fax: 352-351-4305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: SRIKAR P REDDY
Title or Position: MGMR
Credential:
Phone: 352-988-7895