Individual
BENJAMIN DAVIES BARTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1411 NW 6TH ST, UNIT 120, GAINESVILLE, FL 32601-4021
(352) 519-5106
Mailing address
1031 NW 6TH ST, STE F-1, GAINESVILLE, FL 32601-2226
(352) 872-2107
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
71894
FL
Other
Enumeration date
04/11/2013
Last updated
08/21/2013
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