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Individual

ROBERT ANDREW MACKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6716 NW 11TH PLACE, STE 200, GAINESVILLE, FL 32605-4215
(352) 331-9729
(612) 294-4903
Mailing address
6716 NW 11TH PLACE, STE 200, GAINESVILLE, FL 32605-4215
(352) 331-9729
(612) 294-4903

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
38858
SC
2085R0202X
Diagnostic Radiology Physician
Primary
ME130192
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021089600
FL
01
2TGZ3
BCBS
FL
Enumeration date
07/06/2012
Last updated
04/20/2022
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