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Individual

JASON DALE HALLMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6400 W NEWBERRY RD, SUITE 302, GAINESVILLE, FL 32605-6605
(352) 331-8902
(352) 224-1094
Mailing address
6400 W NEWBERRY RD, SUITE 302, GAINESVILLE, FL 32605-6605
(352) 331-8902
(352) 224-1094

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP00956
RI
207RG0100X
Gastroenterology Physician
Primary
ME112798
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00713800
FL
Enumeration date
04/17/2007
Last updated
09/08/2020
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