Organization
DOCTORS RADIOLOGY GROUP OF GAINESVILLE LLC
Active
Organization
DOCTORS RADIOLOGY GROUP OF GAINESVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN E WARE M.D. (PRESIDENT)
(352) 331-9729
Entity
Organization
Contact information
Practice address
6716 NW 11TH PL STE 200, GAINESVILLE, FL 32605-4201
(352) 331-9729
(352) 331-0136
Mailing address
6716 NW 11TH PLACE, STE 200, GAINESVILLE, FL 32605-4215
(352) 331-9729
(352) 331-0136
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056871600
—
FL
01
—
239216
AVMED
FL
01
—
99680
BCBSFL
FL
01
—
DE7978
RAIL ROAD MEDICARE
FL
Enumeration date
05/12/2006
Last updated
07/12/2024
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