Haven Medical Group, Llc

NPI 1407143316 - Internal Medicine - 207RH0002X

NPI Details
NPI 1407143316
Enumeration Date 06/30/2011
Last Updated 06/30/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name TIM TIM
Position PRESIDENT
Phone (352) 378-2121
Fax (352) 379-6294
Practice Location
4200 NW 90TH BLVD
GAINESVILLE FL, 32606-3809, US
Phone (352) 378-2121
Fax (352) 379-6294
Business Location
4200 NW 90TH BLVD
GAINESVILLE FL, 32606-3809, US
Phone (352) 378-2121
Fax (352) 379-6294
Toxanomy
Taxonomy Code 207RH0002X
License State
License Number
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According to our database, Haven Medical Group, Llc NPI is 1407143316, taxonomy code is 207RH0002X Haven Medical Group, Llc physically located at 4200 Nw 90th Blvd, Gainesville FL, 32606-3809. NPI Number 1033115704 has the healthcare provider type.

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1407143316 NPI number is provided on an as is basis without warranty of any kind. 1407143316 is maintained by the National Plan & Provider Enumeration System. The contents of Haven Medical Group, Llc are for informational purposes only.