GAUTAM GANGULY
General Practice
Active
Individual
NPI: 1669849824
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| General Practice | 208D00000X | Yes | ACN1448 (FL) |
Frequently Asked Questions
NPI 1669849824 is the National Provider Identifier for GAUTAM GANGULY, a General Practice provider located in Beverly Hills, FL. This NPI was enumerated on August 24, 2015.
GAUTAM GANGULY practices at 3775 N LECANTO HWY, Beverly Hills, FL 34465.
Quick Facts
- NPI
- 1669849824
- Type
- Individual
- Enumerated
- Aug 24, 2015
- Last Updated
- Sep 12, 2025
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CHARLES KRONENTHAL JR., PA-C
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