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Organization
HAILE MEDICAL GROUP PA
Active
Organization
HAILE MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICHOLE OSBORNE (MANAGER)
(352) 367-9602
Entity
Organization
Contact information
Practice address
4750 SW 91ST DR STE A, GAINESVILLE, FL 32608-8140
(352) 367-9602
Mailing address
4750 SW 91ST DR STE A, GAINESVILLE, FL 32608-8140
(352) 367-9602
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
02/25/2009
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