Individual
DR. TODD JOHN ENDICOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4313 NW 8TH AVE, GAINESVILLE, FL 32605
(352) 373-4300
(352) 373-4572
Mailing address
4313 NW 8TH AVE, GAINESVILLE, FL 32605-4777
(352) 373-4300
(352) 373-4572
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
20A 10704
CA
207W00000X
Ophthalmology Physician
Primary
OS15829
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LREH9
FLORIDA BLUE
—
Enumeration date
06/14/2007
Last updated
03/10/2023
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