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Individual

DR. MICHAEL WESTON HINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6400 W NEWBERRY RD, SUITE 301, GAINESVILLE, FL 32605-6605
(352) 333-5050
(352) 248-2228
Mailing address
6400 NEWBERRY RD, SUITE 301, GAINESVILLE, FL 32605-6603
(352) 333-5050
(352) 248-2228

Taxonomy

Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME0045028
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
25161000
FL
Enumeration date
12/01/2005
Last updated
05/23/2018
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