Individual
BARBARA ANN GROOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-2245
(352) 273-6815
(352) 273-7515
Mailing address
PO BOX 100247, GAINESVILLE, FL 32610-0247
(352) 273-6815
(352) 273-7515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103777
FL
363AS0400X
Surgical Physician Assistant
PAT9103777
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117224700
—
FL
05
—
292840000
—
FL
Enumeration date
08/15/2006
Last updated
03/24/2023
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