# UF

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982150934
- **Authorized official:** LEE TAMMY (ADMINISTRATIVE SPECIALIST)
- **Authorized official phone:** (352) 273-5688

## Contact information

- **Practice address:** 1395 CENTER DR \# D8-18, GAINESVILLE, FL 32610-0406
- **Practice address phone:** (352) 273-7755
- **Mailing address:** 1333 NW 117TH TER, GAINESVILLE, FL 32606-0422
- **Mailing address phone:** (352) 226-4651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | — | NULL | Yes |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2016
- **Last updated:** 08/30/2016
