Mickey L Bath, PAC
NPI #1053376012 in Gainesville, Florida
Provider Information
- NPI Number
- 1053376012
- Entity Type
- Individual
- Name
- Mickey L Bath, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PAC
- Enumeration Date
- Apr 20, 2006
- Last Updated
- Nov 29, 2010
Practice Location
- Address
- 1600 SW ARCHER RD
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32610-3003
- Phone
- (352) 392-1161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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