Individual
DR. EDWARD PAUL MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6500 W NEWBERRY RD, GAINESVILLE, FL 32605-4309
(352) 333-4180
(352) 333-4861
Mailing address
4131 NW 13TH ST, SUITE 101, GAINESVILLE, FL 32609-4151
(352) 376-1887
(352) 375-7451
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS8378
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050089955
RR MEDICARE
—
01
—
13060
BCBS
—
05
—
264346400
—
FL
Enumeration date
07/25/2006
Last updated
07/08/2007
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