Individual
GULSUN ERDAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0010
(352) 265-9900
(352) 265-9901
Mailing address
1600 SW ARCHER RD BOX 100275, GAINESVILLE, FL 32610-0001
(352) 265-9900
(352) 265-9901
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
ME136909
FL
207ZD0900X
Dermatopathology (Pathology) Physician
ME136909
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
D72968
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME136909
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105714700
—
FL
Enumeration date
06/08/2009
Last updated
03/26/2020
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