Organization
GAINESVILLE PLASTIC SURGERY ASSOCIATES PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE GRUENWALD (PRACTICE MANAGER)
(352) 331-3401
Entity
Organization
Contact information
Practice address
6801 NW 9TH BLVD, SUITE 2, GAINESVILLE, FL 32605-4269
(352) 331-3401
(352) 332-0922
Mailing address
6801 NW 9TH BLVD, SUITE 2, GAINESVILLE, FL 32605-4269
(352) 331-3401
(352) 332-0922
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
09/17/2007
Last updated
10/31/2008
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