Individual
DAVID T BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3203
(352) 273-5550
Mailing address
PO BOX 100236, GAINESVILLE, FL 32610-0236
(352) 273-5550
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11005978
FL
363LA2100X
Acute Care Nurse Practitioner
9476491
FL
Other
Enumeration date
02/18/2020
Last updated
12/09/2020
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