Individual
DR. JENNIE ABIGAIL MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6500 W NEWBERRY RD, GAINESVILLE, FL 32605-4309
(352) 333-4180
(352) 333-4861
Mailing address
4131 NW 13TH STREET, SUITE101, GAINESVILLE, FL 32609-1858
(352) 376-1887
(352) 375-7451
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME44184
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02827
BCBS
—
05
—
046330200
—
FL
01
—
P00216933
RR MEDICARE
—
Enumeration date
10/25/2006
Last updated
07/08/2007
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