Organization
GAINESVILLE GYN ONCOLOGY OF NORTH FLORIDA REGIONAL MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM T JOHNSON (VICE PRESIDENT)
(615) 372-3375
Entity
Organization
Contact information
Practice address
6400 W NEWBERRY RD, SUITE 103, GAINESVILLE, FL 32605-4384
(352) 333-5946
(352) 333-5947
Mailing address
6400 W NEWBERRY RD, SUITE 103, GAINESVILLE, FL 32605-4384
(352) 333-5946
(352) 333-5947
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
ME73553
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG1522
RAILROAD MEDICARE
FL
Enumeration date
05/24/2006
Last updated
09/09/2014
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