Individual
LUIS GUILHERME LEAL MOTTA MELO DA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(763) 337-3761
Mailing address
149 NEWELL DR 4TH FLOOR - NEUROLOGY, GAINESVILLE, FL 32610-0001
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
11636
ZZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GA666225
PASSPORT
—
Enumeration date
04/15/2024
Last updated
04/15/2024
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