Individual
ERIC JORGE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD MS
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-5400
Mailing address
PO BOX 100296, GAINESVILLE, FL 32610-0296
(352) 273-5400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME130118
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019028100
—
FL
Enumeration date
03/31/2010
Last updated
12/05/2016
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