MEDICARE: DR. ASHIL J GOSALIA M.D.

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	207R00000X	Internal Medicine Physician	LP02278	RI
2	207RG0100X	Gastroenterology Physician	ME119259	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	:	1477846525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHIL J GOSALIA M.D.

Provider Business Mailing Address
First Line	:	7300 SAND LAKE RD
Second Line	:	STE 127
City	:	ORLANDO
State	:	FL
Zip	:	32819-8011
Country	:	US
Telephone Number	:	321-841-9025
Fax Number	:	321-842-3651

Provider Business Practice Location Address
First Line	:	7300 SAND LAKE RD
Second Line	:	STE 127
City	:	ORLANDO
State	:	FL
Zip	:	32819-8011
Country	:	US
Telephone Number	:	321-841-9025
Fax Number	:	321-842-3651

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2011
Last Update Date	:	10/18/2021

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