Avantica Gondi (NPI# 1063673812, PAC ID# 3779623962) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063673812 |
| PAC ID by PECOS | 3779623962 |
| Professional Enrollment ID | I20091219000053 |
| Full Name | Avantica Gondi |
| Address |
1818 Harden Blvd Suite 120 Lakeland FL 33803-1813 |
| Gender | F |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100157 | LAKELAND REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1818 Harden Blvd, Suite 120, Lakeland, FL 33803-1813 |
| Street Address |
1818 HARDEN BLVD SUITE 120 |
| City | LAKELAND |
| State | FL |
| Zip | 33803-1813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy G. Hunter | Urology | 1350 E Main St, Suite B 8, Bartow, FL 33803 | |
| Robert H Bevis | Internal Medicine | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Guillermo O Vasquez | Internal Medicine | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Zully A Calvo | Podiatry | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Dona C Stone | Internal Medicine | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Georgette D Farmer | Nurse Practitioner | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Patricia Ann Schmaedeke | Family Medicine | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Catherine B Marcum | Dermatology | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Edward Garcia | Pathology | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Brett J Widick | Family Medicine | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Find all physicians in zip 33803 | |||
| City | LAKELAND |
| Zip Code | 33803 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAKELAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Avantica Gondi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.