Individual
MINDAUGAS RACKAUSKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(647) 893-5148
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
1822
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104923800
—
FL
Enumeration date
08/28/2019
Last updated
05/04/2020
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