Basic Information
| Provider Information | |||||||||
| NPI: | 1184832388 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CENTRAL WALK IN CLINIC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11077 SPRING HILL DR | ||||||||
| Address2: | |||||||||
| City: | SPRING HILL | ||||||||
| State: | FL | ||||||||
| PostalCode: | 346085000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3526843300 | ||||||||
| FaxNumber: | 8134332460 | ||||||||
| Practice Location | |||||||||
| Address1: | 11077 SPRING HILL DR | ||||||||
| Address2: | |||||||||
| City: | SPRING HILL | ||||||||
| State: | FL | ||||||||
| PostalCode: | 346085000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3526843300 | ||||||||
| FaxNumber: | 8134332460 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/19/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | MALHOTRA | ||||||||
| AuthorizedOfficialFirstName: | GAURAV | ||||||||
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| AuthorizedOfficialTitleorPosition: | DOCTOR | ||||||||
| AuthorizedOfficialTelephone: | 3526843300 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | ME0076833 | FL | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.