Individual ProviderVivekananda GonuguntaNeurological SurgeryAllopathic & Osteopathic PhysiciansPractice Address89 W Copeland Dr, Orlando, FL 32806-2002(321) 841-7550PECOS EnrollmentBased on the most recent information from CMS, provider Vivekananda Gonugunta is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1336319623Provider TypeIndividualFull NameGonugunta, VivekanandaCredentialMD.,GenderMaleSole ProprietorNoEnumeration Date3/3/2008Last Updated6/14/2022Contact InformationPractice LocationPractice Address89 W Copeland Dr, Orlando, FL 32806-2002Phone(321) 841-7550Fax(321) 841-8185Mailing LocationMailing Address89 W Copeland Dr, Orlando, FL 32806-2002Phone(321) 841-7550Fax(321) 841-8185Provider TaxonomiesCodeDescriptionLicenseCode207T00000XPrimaryDescriptionNeurological SurgeryAllopathic & Osteopathic PhysiciansLicenseME157025FloridaCode207T00000XDescriptionNeurological SurgeryAllopathic & Osteopathic PhysiciansLicense53324Wisconsin