Brooksville Walk in Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0076833 Issued in FL

Legal business name

BROOKSVILLE WALK IN CLINIC LLC

Practice address

433 W Jefferson St
Brooksville, FL 34601-2500

Phone

(352) 796-7171

Fax

(352) 796-1020

NPI assigned

Feb 21, 2007

Last updated

Jul 25, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gaurav Malhotra, MDNPI 1679641039

Title

Member

Phone

(352) 684-3300

Specialties & licenses 2

Addresses

Other names 1

• Central Walk In Clinic Inc Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gaurav Vijai Malhotra, M.D.

  • Internal Medicine Physician
  • Spring Hill, FL
  • NPI 1679641039
  NPD (past) Authorized official
• Murthy Ravipati, M.D.

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1295883841

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1942335104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 W JEFFERSON ST",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012500",
            "telephone_number": "352-796-7171",
            "fax_number": "352-796-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 W JEFFERSON ST",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012500",
            "telephone_number": "352-796-7171",
            "fax_number": "352-796-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSVILLE WALK IN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "352-684-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME93291",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0076833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Walk In Clinic Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brooksville Rehab 2000 Incorporated
• Brooksville RX LLC (Brooksville Drugs)
• Brooksville RX LLC (Brooksville Drugs)
• Brooksville SNF Investors LLC (Northbrook Health and Rehabilitation Center)
• Brooksville SNF Operations LLC
• Heather Kathleen Brosi, ND
• Brandi L. Broughton, PHYSICIAN ASSISTANT
• Brittany Marie Brown
• Michael Ryan Brown, DO, PA-C
• Sylvana Rosario Brown, BS

• Internal Medicine Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.