Preventive Medicine Ctr of Gainesville INC
NPI #1063546133 in Gainesville, Florida
Provider Information
- NPI Number
- 1063546133
- Entity Type
- Organization
- Organization Name
- Preventive Medicine Ctr of Gainesville INC
- Primary Specialty
- Specialist
- Enumeration Date
- Mar 14, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 905 NW 56TH TERRACE
- Address 2
- SUITE B
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32605
- Phone
- (352) 331-5138
Authorized Official
- Name
- ROBERT A ERICKSON, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (352) 331-5138
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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