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Individual

ALEXANDER MULTAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0254
(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
MD034345E
PA
207L00000X
Anesthesiology Physician
Primary
ME56781
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018462700
FL
Enumeration date
09/12/2005
Last updated
03/07/2018
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