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Organization

DEPARTMENT OF PATHOLOGY, IMMUNOLOGY AND LABORATORY MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL MAHLA M.D. (ASSOCIATE DEAN OF GM)
(352) 273-8909
Entity
Organization

Contact information

Practice address
1329 SW 16TH ST, ROOM 4230, GAINESVILLE, FL 32608-1128
(352) 265-0680
(352) 265-7978
Mailing address
1329 SW 16TH ST, ROOM 4230, GAINESVILLE, FL 32608-1128

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
282N00000X
General Acute Care Hospital
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
05/16/2011
Last updated
05/16/2011
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