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Organization

GAINESVILLE HEMATOLOGY ONCOLOGY ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARCY MEDLIN (ADMINISTRATOR)
(352) 332-3900
Entity
Organization

Contact information

Practice address
1147 NW 64TH TER, GAINESVILLE, FL 32605-4218
(352) 332-3900
(352) 332-5009
Mailing address
1147 NW 64TH TER, GAINESVILLE, FL 32605-4218
(352) 332-3900
(352) 332-5009

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
370501300
FL
Enumeration date
05/17/2006
Last updated
07/29/2008
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