Individual
GILBERT R UPCHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD # 100128, GAINESVILLE, FL 32610-0001
(352) 273-5484
Mailing address
1600 SW ARCHER RD # 100128, GAINESVILLE, FL 32610-0128
(352) 273-5484
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301075173
MI
2086S0129X
Vascular Surgery Physician
0101248214
VA
2086S0129X
Vascular Surgery Physician
4301075173
MI
2086S0129X
Vascular Surgery Physician
Primary
ME134014
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022772600
—
FL
05
—
4143530
—
MI
Enumeration date
09/25/2006
Last updated
12/07/2017
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