Individual
DR. ELEAZAR DOMINGO FARISCAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, DPT
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-4638
(352) 757-0660
Mailing address
9005 SW 70TH LN, GAINESVILLE, FL 32608-5394
(248) 205-0575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11023156A
IN
208D00000X
General Practice Physician
Primary
OS21335
FL
225100000X
Physical Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2010
Last updated
11/23/2024
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