Provider Demographics
NPI:1235659848
Name:GOPIDASAN, SREEJA (MD)
Entity Type:Individual
Prefix:MRS
First Name:SREEJA
Middle Name:
Last Name:GOPIDASAN
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:HCA FLORIDA OCALA HOSPITAL , 1431 SW 1ST AVE, BITZER 7
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471
Mailing Address - Country:US
Mailing Address - Phone:352-401-8311
Mailing Address - Fax:
Practice Address - Street 1:HCA FLORIDA OCALA HOSPITAL , 1431 SW 1ST AVE, BITZER 7
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471
Practice Address - Country:US
Practice Address - Phone:352-401-8311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-23
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9254124363LF0000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPRN9254124OtherMEDICAL LICENSE