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Organization

CARDIOLOGY ASSOCIATES OF GAINESVILLE

Active
Parent organization
CARDIOLOGY ASSOCIATES OF GAINESVILLE
Organization subpart
Yes

Provider details

NPI number
Legal business name
CARDIOLOGY ASSOCIATES OF GAINESVILLE
Authorized official
MRS. NORMA J. WYCKOFF (BUSINESS OFFICE MANAGER)
(352) 375-1212
Entity
Organization

Contact information

Practice address
922 E CALL ST, STARKE, FL 32091-3616
(904) 368-2300
Mailing address
4645 NW 8TH AVE, GAINESVILLE, FL 32605-4524
(352) 375-1212
(352) 371-4650

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
060906400
FL
Enumeration date
01/29/2009
Last updated
01/29/2009
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