Organization
CARDIOLOGY ASSOCIATES OF GAINESVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NORMA J WYCKOFF (BUSINESS OFFICE MANAGER)
(352) 375-1212
Entity
Organization
Contact information
Practice address
4645 NW 8TH AVE, GAINESVILLE, FL 32605-4524
(352) 375-1212
(352) 371-4650
Mailing address
4645 NW 8TH AVE, GAINESVILLE, FL 32605-4524
(352) 375-1212
(352) 371-4650
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060906400
—
FL
Enumeration date
08/23/2006
Last updated
10/12/2009
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