Individual
DR. FAISAL MUKHTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0001
(352) 273-7839
(352) 273-8172
Mailing address
PO BOX 100275, GAINESVILLE, FL 32610-0275
(352) 273-7839
(352) 273-8172
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
ME121699
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD040420
DC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME121699
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013899200
—
FL
Enumeration date
05/28/2008
Last updated
06/12/2023
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