Individual
FRED COLE DOOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0258
(352) 265-0077
Mailing address
211 SW 129TH TER, NEWBERRY, FL 32669-2783
(309) 253-8316
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME123167
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014627000
—
FL
Enumeration date
04/05/2010
Last updated
06/16/2015
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