Organization
UNDONO CARE GAINESVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND VAN TRAN (MANAGER)
(352) 214-9981
Entity
Organization
Contact information
Practice address
7311 NW 4TH BLVD, GAINESVILLE, FL 32607-1667
(352) 214-9981
Mailing address
7311 NW 4TH BLVD, GAINESVILLE, FL 32607-1667
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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