Basic Information
Provider Information
NPI: 1235338047
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARORA
FirstName: PULKIT
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2930 SW 23RD TERRACE
Address2: APARTMENT NO 2511
City: GAINESVILLE
State: FL
PostalCode: 32608
CountryCode: US
TelephoneNumber: 7063804675
FaxNumber:  
Practice Location
Address1: 625 SOUTH WEST 4TH AVENUE
Address2:  
City: GAINESVILLE
State: FL
PostalCode: 32601
CountryCode: US
TelephoneNumber: 3523924541
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/12/2007
LastUpdateDate: 07/12/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XTRN11399FLY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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