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MR. DERRICK VAN HAILE II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
1505 SW ARCHER RD, GAINESVILLE, FL 32608-1134
(352) 265-9928
Mailing address
PO BOX 100286, GAINESVILLE, FL 32610-0286
(352) 265-0535
(352) 627-4173

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
RN9484004
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11045161
FL

Other

Enumeration date
12/16/2025
Last updated
01/30/2026
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