Individual provider · Type 1 NPI

Gautam Ganguly

General Practice Physician · Beverly Hills, FL

NPI number 1669849824 Active

Practice location

3775 N Lecanto Hwy
Beverly Hills, FL 34465-3559

Call (352) 746-0600 Map

Fax (352) 746-0607

Mailing address

PO Box 640573, Ste 146
Beverly Hills, FL 34464-0573

Other practice locations

  • 1542 Kingsley Ave Ste 146, Orange Park, FL 32073-4547 · (904) 269-2990
  • 3775 N Lecanto Hwy, Beverly Hills, FL 34465-3559 · (352) 746-0600

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X019167 (PR)
General Practice Physician Primary 208D00000XACN1448 (FL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1669849824

Gautam Ganguly's National Provider Identifier is 1669849824, issued on Aug 24, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Beverly Hills, FL. The record was last updated on Sep 12, 2025.