Individual
BRIAN CASEY FITZGERALD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-9595
(352) 542-0068
(352) 542-1843
Mailing address
PO BOX 100237, GAINESVILLE, FL 32610-0237
(352) 273-5159
(352) 273-5213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
191427
NC
207Q00000X
Family Medicine Physician
Primary
ME134163
FL
208M00000X
Hospitalist Physician
2016-00466
NC
Other
Enumeration date
04/12/2013
Last updated
04/29/2022
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