Organization
JOHN A DRYFUSS JR MD PA
Active
Parent organization
JOHN A DRYFUSS JR MD PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN A DRYFUSS JR MD PA
Authorized official
DR. JOHN A DRYFUSS JR. M.D. P.A. (PRESIDENT)
(352) 331-1773
Entity
Organization
Contact information
Practice address
7109 NW 11TH PL, STE C, GAINESVILLE, FL 32605-3170
(352) 331-1773
(352) 331-1814
Mailing address
7109 NW 11TH PL, STE C, GAINESVILLE, FL 32605-3170
(352) 331-1773
(352) 331-1814
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0015017
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0355799500
—
FL
Enumeration date
11/04/2011
Last updated
11/04/2011
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