Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | ME116628 | FL |
NPI | 1073807194 |
---|---|
Provider Name | Dr. Anindita Chakraborty |
First Address | Gainesville, FL 32610-3003 |
Second Address | Gainesville, FL 32610-3003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2011 |
Last Update Date | 29/09/2014 |