Organization
LUPUS FOUNDATION OF GAINESVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EFTIM ADHAMI MD (DIRECTOR)
(352) 275-8171
Entity
Organization
Contact information
Practice address
720 SW 2ND AVE, SUITE 205, GAINESVILLE, FL 32601-6271
(352) 275-8171
Mailing address
945 NW 114TH WAY, GAINESVILLE, FL 32606-0404
(352) 275-8171
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ACN187
FL
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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