Healthcare Provider Details
I. General information
NPI: 1023645280
Provider Name (Legal Business Name): RIMA GANDHI PANDYA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/26/2020
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10000 W COLONIAL DR
OCOEE FL
34761-3400
US
IV. Provider business mailing address
10000 W COLONIAL DR STE 381
OCOEE FL
34761-3435
US
V. Phone/Fax
- Phone: 321-841-3467
- Fax: 407-253-2563
- Phone: 321-841-3467
- Fax: 407-253-2563
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 89829 |
| License Number State | SC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | ME173795 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: