Organization
MAMMOCARE, LLC
Active
Other names
MammoCare America
Organization subpart
No
Provider details
NPI number
Authorized official
SHAFIK N WASSEF MD (PRESIDENT)
(319) 535-0465
Entity
Organization
Contact information
Practice address
6821 NW 11TH PL, GAINESVILLE, FL 32605-4216
(352) 999-3553
Mailing address
14191 NW 166TH TER UNIT 2, ALACHUA, FL 32615-8173
(319) 535-0465
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Enumeration date
02/12/2025
Last updated
02/16/2025
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