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Individual

DARYL L REUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-5010
(352) 273-8610
Mailing address
PO BOX 100254, GAINESVILLE, FL 32610-0254
(352) 273-8610

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
27656
OK
207L00000X
Anesthesiology Physician
Primary
ME131380
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020669200
FL
01
IY909Z
MEDICARE
FL
Enumeration date
05/15/2006
Last updated
07/21/2022
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