Individual
MEDIA ISMAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0239
(352) 265-1107
Mailing address
PO BOX 100214, GAINESVILLE, FL 32610-0214
(352) 273-9400
(352) 627-4268
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME164306
FL
207RI0008X
Hepatology Physician
0101285159
VA
Other
Enumeration date
03/28/2017
Last updated
08/12/2025
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