Individual
THIAGO BEDUSCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1005
(352) 265-0606
(352) 265-0678
Mailing address
1600 SW ARCHER RD BOX 100118, GAINESVILLE, FL 32610-0286
(352) 265-0606
(352) 265-0678
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
11015250A
IN
204F00000X
Transplant Surgery Physician
Primary
ME115700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008598100
—
FL
Enumeration date
07/13/2010
Last updated
04/15/2020
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