Anu R Tatambhotla MD PA

NPI #1114152188 in Homosassa, Florida

Provider Information

NPI Number: 1114152188
Entity Type: Organization
Organization Name: Anu R Tatambhotla MD PA
Primary Specialty: Internal Medicine
Enumeration Date: May 20, 2009
Last Updated: May 20, 2009

Practice Location

Address: 4049 S OHIO AVE
City: Homosassa
State: Florida
ZIP Code: 34446-1138
Phone: (352) 628-1000

Authorized Official

Name: DR. ANU R TATAMBHOTLA, MD
Title: OWNER
Phone: (352) 628-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Internal Medicine	207R00000X	Primary

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