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Gainesville Gyn Oncology Of North Florida Regional Medical Center, LLC

Obstetrics & Gynecology, Gynecologic Oncology in Gainesville, FL. Organization (NPI-2).

NPI number1902851264
StatusActive
Last updated in NPPESSep 9, 2014

Details

NPI
1902851264
Entity type
Organization (NPI-2)
Legal business name
Gainesville Gyn Oncology Of North Florida Regional Medical Center, LLC
Organization subpart
No
Enumeration date
May 24, 2006
Last updated
Sep 9, 2014

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VX0201X Obstetrics & Gynecology, Gynecologic OncologyME73553FLYes

Practice location

6400 W Newberry Rd
Suite 103
Gainesville, FL 32605-4384

Phone 352-333-5946 · Fax 352-333-5947

Mailing address

6400 W Newberry Rd
Suite 103
Gainesville, FL 32605-4384

Phone 352-333-5946 · Fax 352-333-5947

Authorized official

William T Johnson
Vice President
6153723375

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Gynecologic Oncology Physician providers in Gainesville, FL

All 7 Gynecologic Oncology Physician providers in Gainesville · All 16,207 providers in Gainesville

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