Organization
GAINESVILLE EMERGENCY MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY W GILLETTE MD (MEDICAL DIRECTOR)
(973) 251-1132
Entity
Organization
Contact information
Practice address
6500 W NEWBERRY RD, GAINESVILLE, FL 32605-4309
(352) 333-4900
(352) 333-4800
Mailing address
5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000HV
BCBS
FL
05
—
001663500
—
FL
Enumeration date
11/18/2009
Last updated
12/15/2021
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