Individual
DEAN LATAIN MCCARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6303 NW 128TH ST, GAINESVILLE, FL 32653-2612
(352) 246-7284
Mailing address
6303 NW 128TH ST, GAINESVILLE, FL 32653-2612
(352) 246-7284
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME31192
FL
207RH0000X
Hematology (Internal Medicine) Physician
ME31192
FL
207RX0202X
Medical Oncology Physician
Primary
ME31192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051865
VISTA
FL
05
—
066428600
—
FL
01
—
209879
AVMED
FL
01
—
55093
BCBS
FL
Enumeration date
07/24/2006
Last updated
11/17/2021
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