Healthcare Provider Details

I. General information

NPI: 1225979560
Provider Name (Legal Business Name): ANVISHA UPADHYAYA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1431 SW 1ST AVE BITZER BUILDING-GME, OCALA, FL 34471 UN
OCALA FL
34471
US

IV. Provider business mailing address

1431 SW 1ST AVE BITZER BUILDING-GME, OCALA, FL 34471 UN
OCALA FL
34471
US

V. Phone/Fax

Practice location:
  • Phone: 352-401-8311
  • Fax:
Mailing address:
  • Phone: 352-401-8311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: