Individual
DR. FRANCES GLORIE TARDY-RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3001
(352) 265-0291
(352) 265-0279
Mailing address
PO BOX 100374, GAINESVILLE, FL 32610-0374
(352) 265-0291
(352) 265-0279
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME128563
FL
208D00000X
General Practice Physician
12622-I
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017865100
—
FL
Enumeration date
09/08/2010
Last updated
09/19/2016
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