Provider Demographics
NPI:1275884280
Name:BHAVSAR, SUMEET (MD)
Entity Type:Individual
Prefix:DR
First Name:SUMEET
Middle Name:
Last Name:BHAVSAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 RED BUG LAKE RD
Mailing Address - Street 2:12617 NARCOOSE RD SUITE 300
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-6801
Mailing Address - Country:US
Mailing Address - Phone:407-929-4493
Mailing Address - Fax:
Practice Address - Street 1:12617 NARCOOSSEE RD STE 300
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-7147
Practice Address - Country:US
Practice Address - Phone:407-929-4493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125062369207R00000X
FLME123338207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine