Individual
DR. FREDERICK MARK MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-6575
(352) 392-7029
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-6575
(352) 392-7029
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME105910
FL
207L00000X
Anesthesiology Physician
TRN10301
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002466600
—
FL
Enumeration date
10/17/2006
Last updated
11/23/2010
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