Individual
MATTHEW GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1865
(352) 265-0535
(352) 265-0328
Mailing address
PO BOX 100374, GAINESVILLE, FL 32610-0374
(352) 265-0291
(352) 265-0279
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME139928
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121618300
—
FL
Enumeration date
05/11/2017
Last updated
06/17/2024
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