Organization
GAINES PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY C. GAINES MD, FACS (OWNER)
(352) 333-9600
Entity
Organization
Contact information
Practice address
108 NW 76TH DR, SUITE A, GAINESVILLE, FL 32607-6652
(352) 333-9600
(352) 333-9606
Mailing address
108 NW 76TH DR, SUITE A, GAINESVILLE, FL 32607-6652
(352) 333-9600
(352) 333-9606
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME76402
FL
208600000X
Surgery Physician
ME76402
FL
Other
Enumeration date
11/28/2011
Last updated
11/17/2016
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