Individual
DR. DANIELLE SUSANNE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1707 N MAIN ST, GAINESVILLE, FL 32609-3650
(352) 265-7001
(352) 265-9584
Mailing address
1707 N MAIN ST, GAINESVILLE, FL 32609-3650
(352) 265-7001
(352) 265-9584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A106223
CA
207Q00000X
Family Medicine Physician
Primary
ME129181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018830500
—
FL
Enumeration date
06/11/2007
Last updated
11/10/2016
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