Individual
DR. VIVEK JAGADALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
052337
CT
207X00000X
Orthopaedic Surgery Physician
Primary
ME159674
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
052337
CT
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
052337
CT
Other
Enumeration date
08/03/2010
Last updated
03/03/2023
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