Most Relevant Information
Provider Data
| NPI Number: | 1003494949 |
| Provider Name: | ISHPAUL BHAMBER |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/31/2021 |
| Last Updated: | 06/04/2024 |
Provider Practice Location
6500 W NEWBERRY RD
GAINESVILLE
FL
326054309
Practice Location Phone/Fax
| Phone: | 3523334000 |
| Fax: |
Provider Mailing Location
6710 COYOTE RIDGE CT
BRADENTON
FL
342012114
Provider Mailing Phone/Fax
| Phone: | 9415248006 |
| Fax: |