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GAINESVILLE GYN ONCOLOGY OF NORTH NPI 1902851264


NPI Information

NPI: 1902851264
Provider Name: GAINESVILLE GYN ONCOLOGY OF NORTH
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Organization

Specialization: Gynecologic Oncology

Address:
6440 W NEWBERRY RD
MAB STE 103
GAINESVILLE, FL
ZIP 32605
Phone: (352) 333-3191
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GAINESVILLE GYN ONCOLOGY OF NORTH is a gynecologic oncology obstetrics gynecology in Gainesville, FL. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. GAINESVILLE GYN ONCOLOGY OF NORTH NPI is 1902851264. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6440 W NEWBERRY RD
MAB STE 103
GAINESVILLE, FL
ZIP 32605-381
Phone: (352) 333-3191
Fax: (352) 333-7589

The provider's authorized official is Mickey Pickler .
The authorized official title is Vice President and has the following contact phone number (850) 523-2117.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 10/15/2009.


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
1207VX0201XObstetrics & GynecologyGynecologic OncologyME73553FLORIDAYes

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
1DG1522OTHERFLORIDARAILROAD MEDICARE
2AB597MEDICARE PINFLORIDA
3G57060MEDICARE UPINFLORIDA

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: 11/14/2023

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