Healthcare Provider Details

I. General information

NPI: 1982225397
Provider Name (Legal Business Name): RONAK GANDHI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2020
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 N ORANGE AVE STE 402
ORLANDO FL
32804-4674
US

IV. Provider business mailing address

2501 N ORANGE AVE STE 402
ORLANDO FL
32804-4674
US

V. Phone/Fax

Practice location:
  • Phone: 407-894-8696
  • Fax: 407-234-2310
Mailing address:
  • Phone: 407-894-8696
  • Fax: 407-234-2310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberV8255
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberBP20086260
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberOS23566
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberBP10071309
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: