DR. AVANTICA GONDI


Address: 1818 Harden Blvd Ste 120, Lakeland, FL 33803-1813
Phone: 8632105640

DR. AVANTICA GONDI (NPI# 1063673812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063673812
Entity Type Individual
Full Name DR. AVANTICA GONDI
Credential MD
Practice Address 1818 Harden Blvd Ste 120
Lakeland
FL 33803-1813
Mailing Address 1818 Harden Blvd
Ste 120
Lakeland
FL 33803-1812
Practice Telephone 8632105640
Practice Fax Number 8632105716
Mailing Telephone 8632105640
Mailing Fax Number 8632105716
Enumeration Date 2008-06-24
Last Update Date 2017-01-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine ME 104474 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 001481700 05

Office Location

Street Address 1818 HARDEN BLVD STE 120
City LAKELAND
State FL
Zip Code 33803-1813

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861964819 Steven P Agelidis Counselor 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 2018-12-31
1902316201 Kesara Mai Ngam Massage Therapist 117 West Oak Drive, Lakeland, FL 33803 2017-10-02
1396260618 Suncoast Behavioral Solutions, LLC Behavioral Analyst 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 2017-08-08
1316484413 Daniel Jacob Stahl Behavior Technician 145 East Edgewood Drive, Lakeland, FL 33803 2017-01-26
1780037002 Shelley Stettinius Behavioral Analyst 145 East Edgewood Dr, Lakeland, FL 33803 2016-07-21
1396106654 Highlands Occupational Therapy, Inc Occupational Therapist 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 2016-03-15
1003289570 Jayna Dinsmore Physical Therapy Assistant 321 Imperial Blvd, D38, Lakeland, FL 33803 2015-11-05
1093187429 Healthstat Wellness Polk-lakeland Preventive Medicine 3215 Winter Lake Road, Lakeland, FL 33803 2015-10-26
1962812545 Florida Presbyterian Homes, Inc Nursing Facility/Intermediate Care Facility 901 Lakeside Avenue, Lakeland, FL 33803 2014-05-05
1710316336 Trinity Endodontics Health Maintenance Organization 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 2013-11-04
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174121909 Amanda Millican Family Medicine 605 Laura Rd, Lakeland, FL 33815-3220 2020-10-14
1093320848 Katrena Borders Flowers Family Medicine 2629 Highlands Creek Way, Lakeland, FL 33813-6301 2020-09-09
1578177523 Robinson Family Clinic Inc Family Medicine 4406 S Florida Ave Ste 30, Lakeland, FL 33813-2176 2020-09-06
1306467311 Christopher James Miller Family Medicine 215 S Elm Rd, Lakeland, FL 33801-2310 2020-04-30
1811480387 Victoria Anne Morin Family Medicine 1463 Town Center Dr, Lakeland, FL 33803-7966 2018-06-10
1467890665 Rachael Veronique Ollivierre-agard Family Medicine 170 Fitzgerald Rd Ste 1, Lakeland, FL 33813-2633 2013-06-10
1740587211 Javier Andres Diago Benjumea Family Medicine 3015 Lakeland Highlands Rd, Lakeland, FL 33803-4339 2011-02-18
1891099792 Sergio B Seoane Md Pa Family Medicine 118 Allamanda Sr, Lakeland, FL 33803 2011-01-06
1942460902 Michael Curtiss Family Medicine 2039 E Edgewood Dr, Suite B, Lakeland, FL 33803-3601 2008-06-12
1215105689 James Nifty Sarasua Family Medicine 3950 Sunset Lake Dr, Lakeland, FL 33810-2839 2008-02-19
Find all providers in LAKELAND

Competitor

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City LAKELAND
Zip Code 33803

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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