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Individual

DR. MICHAEL EDWARD KAMINSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610
(352) 273-8610
Mailing address
PO BOX 100254, GAINESVILLE, FL 32610-0254
(352) 273-8610

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3416
TN
207L00000X
Anesthesiology Physician
OS14615
FL
208D00000X
General Practice Physician
20A11448
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021040700
FL
01
IZ759Z
MEDICARE
FL
Enumeration date
08/28/2009
Last updated
07/10/2018
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