Healthcare Provider Details
I. General information
NPI: 1730173956
Provider Name (Legal Business Name): 7 HILL GASTROENTEROLOGY PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/02/2005
Last Update Date: 02/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3256 S PINE AVE
OCALA FL
34471-6618
US
IV. Provider business mailing address
3256 S PINE AVE
OCALA FL
34471-6618
US
V. Phone/Fax
- Phone: 352-401-1919
- Fax: 352-401-1870
- Phone: 352-401-1919
- Fax: 352-401-1870
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VISHNU
P
REDDY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 352-401-1919