MEDICARE: GASTROENTEROLOGY INSTITUTE OF ORLANDO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	ME106233	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225493729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GASTROENTEROLOGY INSTITUTE OF ORLANDO LLC

Provider Business Mailing Address
First Line	:	1111 S SEMORAN BLVD
Second Line	:	SUITE A
City	:	ORLANDO
State	:	FL
Zip	:	32807-1480
Country	:	US
Telephone Number	:	407-456-3079
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 S SEMORAN BLVD
Second Line	:	SUITE A
City	:	ORLANDO
State	:	FL
Zip	:	32807-1480
Country	:	US
Telephone Number	:	407-456-3079
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SEELA RAMESH
Credential	:	M.D.
Telephone Number	:	407-456-3079

Provider Enumeration Date	:	12/28/2015
Last Update Date	:	04/18/2017

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