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Individual

ALICIA M. MOHR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1600 SW ARCHER RD, #100371, GAINESVILLE, FL 32610-3001
(352) 265-0301
Mailing address
PO BOX 100108, GAINESVILLE, FL 32610-0108
(352) 265-0301
(352) 265-0627

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME117954
FL
2086S0102X
Surgical Critical Care Physician
25MA06117800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010304800
FL
05
8237409
NJ
Enumeration date
10/12/2006
Last updated
04/13/2017
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