Organization
PRIMARY CARE OF GAINESVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNESTO J LAMADRID MD (PRESIDENT)
(352) 505-0255
Entity
Organization
Contact information
Practice address
1026 SW 2ND AVE STE C, GAINESVILLE, FL 32601-8182
(352) 505-0255
(352) 505-0997
Mailing address
1026 SW 2ND AVE STE C, GAINESVILLE, FL 32601-8182
(352) 505-0255
(352) 505-0997
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ACN101
FL
Other
Enumeration date
12/04/2012
Last updated
02/15/2013
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