Individual
DARA NOELLE WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0275
(352) 273-7841
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0275
(352) 273-7841
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
ME118904
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME118904
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012754000
—
FL
Enumeration date
06/06/2007
Last updated
10/29/2014
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