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DOCTORS RADIOLOGY GROUP OF GAINESVILLE LLC NPI 1194775783


NPI Information

NPI: 1194775783
Provider Name: DOCTORS RADIOLOGY GROUP OF GAINESVILLE LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
6716 NW 11TH PLACE
STE 200
GAINESVILLE, FL
ZIP 32605
Phone: (352) 331-9729
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DOCTORS RADIOLOGY GROUP OF GAINESVILLE LLC is a diagnostic radiology radiology in Gainesville, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DOCTORS RADIOLOGY GROUP OF GAINESVILLE LLC NPI is 1194775783. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6716 NW 11TH PLACE
STE 200
GAINESVILLE, FL
ZIP 32605-215
Phone: (352) 331-9729
Fax: (352) 331-0136

The provider's authorized official is Dan E Ware .
The authorized official title is President and has the following contact phone number (352) 331-9729.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 1/20/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0904XRadiologyNuclear RadiologyNo
22085R0202XRadiologyDiagnostic RadiologyYes
32085R0204XRadiologyVascular & Interventional RadiologyNo
42085U0001XRadiologyDiagnostic UltrasoundNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1056871600MEDICAIDFLORIDA
2239216OTHERFLORIDAAVMED
399680OTHERFLORIDABCBSFL
4DE7978OTHERFLORIDARAIL ROAD MEDICARE
599680MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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