Individual
DR. GARY R GEFFKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
2833 NW 41ST ST, UNIT 140, GAINESVILLE, FL 32606-6986
(352) 377-1426
(352) 376-5781
Mailing address
2833 NW 41ST ST, UNIT 140, GAINESVILLE, FL 32606-6986
(352) 377-1426
(352) 376-5781
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY3729
FL
103TC0700X
Clinical Psychologist
Primary
PY3729
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042063800
—
FL
Enumeration date
06/09/2006
Last updated
04/07/2017
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