Individual
DR. ISAAC P MOTAMARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0646
Mailing address
11945 SAN JOSE BLVD, STE 300, JACKSONVILLE, FL 32223-1627
(352) 265-0646
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME116223
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008977500
—
FL
Enumeration date
04/14/2009
Last updated
01/04/2016
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