Organization
GAINESVILLE GERIATRIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN F BRANDT MD (CEO)
(352) 514-6476
Entity
Organization
Contact information
Practice address
1000 SW 16TH AVE, GAINESVILLE, FL 32601-8425
(352) 328-1529
Mailing address
5200 NW 43RD ST, SUITE 102/387, GAINESVILLE, FL 32606-4484
(352) 328-1529
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
L16000146361
FL
Other
Enumeration date
08/12/2016
Last updated
12/02/2024
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