Individual
DR. GARY MITCHEL REISFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, BOX 100256, GAINESVILLE, FL 32610-0256
(352) 265-7981
(352) 265-7983
Mailing address
DEPARTMENT OF PSYCHIATRY, BOX 100256, GAINESVILLE, FL 32610-0256
(352) 265-7981
(352) 265-7981
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME54511
FL
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
ME54511
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME54511
FL
2084P0800X
Psychiatry Physician
ME54511
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152680155A
—
GA
05
—
2704137-00
—
FL
01
—
P00140464
RAILROAD MEDICARE
FL
Enumeration date
03/28/2006
Last updated
03/07/2017
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