Preventive Medicine Ctr Of Gainesville Inc in Gainesville - Specialist

Preventive Medicine Ctr Of Gainesville Inc - NPI 1063546133

Preventive Medicine Ctr Of Gainesville Inc is a Specialist in Gainesville, Florida. Preventive Medicine Ctr Of Gainesville Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Preventive Medicine Ctr Of Gainesville Inc is 1063546133. The last update date is 2020-08-22.

Preventive Medicine Ctr Of Gainesville Inc's current location address is 905 Nw 56th Terrace, Gainesville, Florida. You can contact this provider via phone number 3523315138 and fax number 3523319399. The mailing address for Preventive Medicine Ctr Of Gainesville Inc is 905 Nw 56th Terrace, Gainesville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Preventive Medicine Ctr Of Gainesville Inc
Address 905 Nw 56th Terrace, Gainesville, Florida
Phone Number 3523315138
Fax Number 3523319399
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Erickson A Robert
Credentials MD
Telephone Number 3523315138

NPI Number Detail

NPI Number 1063546133
Provider Enumeration Date 2007-03-14
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 905 Nw 56th Terrace
City Gainesville
State Florida (FL)
Post Code 32605
Phone Number 3523315138
Fax Number 3523319399

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ME22324 FL STATE ID

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FAQs about Preventive Medicine Ctr Of Gainesville Inc

What is the unique 10-digit identifier code assigned to Preventive Medicine Ctr Of Gainesville Inc by the Centers for Medicare & Medicaid Services?

The Preventive Medicine Ctr Of Gainesville Inc has been issued the NPI (National Provider Identifier) 1063546133 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Preventive Medicine Ctr Of Gainesville Inc's physical address?

The Preventive Medicine Ctr Of Gainesville Inc is physically located at 905 Nw 56Th Terrace, in the city of Gainesville, FL, with the postal code 32605.

What is the Preventive Medicine Ctr Of Gainesville Inc's area of specialization and corresponding taxonomy classification?

The Preventive Medicine Ctr Of Gainesville Inc's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

On what date was the 1063546133 assigned to Preventive Medicine Ctr Of Gainesville Inc?

The Preventive Medicine Ctr Of Gainesville Inc was issued its 1063546133 on 2007-03-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Preventive Medicine Ctr Of Gainesville Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Preventive Medicine Ctr Of Gainesville Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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