Provider Demographics
NPI:1699967877
Name:BHARWANI, SUNIL ASHOK (MD)
Entity type:Individual
Prefix:MR
First Name:SUNIL
Middle Name:ASHOK
Last Name:BHARWANI
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 1:3949 SW COLLEGE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-5713
Mailing Address - Country:US
Mailing Address - Phone:352-401-8800
Mailing Address - Fax:352-401-8882
Practice Address - Street 1:3949 SW COLLEGE RD STE 100
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-5713
Practice Address - Country:US
Practice Address - Phone:352-401-8800
Practice Address - Fax:352-401-8882
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA201567207Q00000X
FLME142084207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA260572265OtherFEDERAL TAX I.D.
LA260572265OtherFEDERAL TAX I.D.