Organization
HAVEN MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE TAYLOR (PRESIDENT)
(407) 682-0808
Entity
Organization
Contact information
Practice address
4200 NW 90TH BLVD, GAINESVILLE, FL 32606-3809
(352) 378-2121
(352) 379-6294
Mailing address
4200 NW 90TH BLVD, GAINESVILLE, FL 32606-3809
(352) 378-2121
(352) 379-6294
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/30/2011
Last updated
08/01/2024
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