Agarwal, Mitali
Agarwal, Mitali is an sole proprietor health care provider with primary practice located at 1720 S Orange Ave Ste 200 , Orlando FL 32806-2932. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Agarwal, Mitali can be contacted via phone (321) 842-9000.Contact Information
Primary practice address
1720 S Orange Ave Ste 200
Orlando FL 32806-2932
Phone: (321) 842-9000
Fax: (321) 843-6326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | TRN22052 | Florida |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME155845 | Florida |
Profile Details
| NPI number | 1154701860 |
|---|---|
| LBN Legal business name | Agarwal, Mitali |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2015 |
| Last updated | Jan 27th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154701860 | NPPES |
| Florida | MEDICAID | 116429500 |
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