Individual
DR. GREGORY M PONTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0001
(352) 273-5550
(352) 273-5575
Mailing address
PO BOX 100236, GAINESVILLE, FL 32610-0236
(352) 273-5550
(352) 273-5575
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME161613
FL
2084P0805X
Geriatric Psychiatry Physician
D0061300
MD
2084P0805X
Geriatric Psychiatry Physician
ME161613
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018375000
—
MD
Enumeration date
01/26/2007
Last updated
06/24/2023
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