Gainesville Pediatric Associates INC
Pediatrics in Gainesville, FL. Organization (NPI-2).
NPI number1710050596
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1710050596
- Entity type
- Organization (NPI-2)
- Legal business name
- Gainesville Pediatric Associates INC
- Organization subpart
- No
- Enumeration date
- Nov 17, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
6440 W Newberry RoadSuite 402
Gainesville, FL 32605
Phone 352-333-5500 · Fax 352-333-5506
Mailing address
6440 W Newberry RoadSuite 402
Gainesville, FL 32605
Phone 352-333-5500 · Fax 352-333-5506
Authorized official
Michael W Wyatt
President
3523335500
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