Gaines Plastic Surgery Pllc

NPI 1053688515 - Surgery - 208600000X

NPI Details
NPI 1053688515
Enumeration Date 11/28/2011
Last Updated 04/03/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name GREGORY C. GREGORY
Position OWNER
Phone (352) 333-9600
Fax (352) 333-9606
Practice Location
108 NW 76TH DR
SUITE B
GAINESVILLE FL, 32607-6652, US
Phone (352) 333-9600
Fax (352) 333-9606
Business Location
108 NW 76TH DR
SUITE B
GAINESVILLE FL, 32607-6652, US
Phone (352) 333-9600
Fax (352) 333-9606
Toxanomy
Taxonomy Code 208600000X
License State Florida
License Number ME76402
Remove 1053688515 NPI Number
 

According to our database, Gaines Plastic Surgery Pllc NPI is 1053688515, taxonomy code is 208600000X and license number is ME76402, license state is located at Florida. Gaines Plastic Surgery Pllc physically located at 108 Nw 76th Dr, Gainesville FL, 32607-6652. NPI Number 1033115704 has the healthcare provider type.

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1053688515 NPI number is provided on an as is basis without warranty of any kind. 1053688515 is maintained by the National Plan & Provider Enumeration System. The contents of Gaines Plastic Surgery Pllc are for informational purposes only.