North Florida Id P L

NPI #1215158035 in Gainesville, Florida

Provider Information

NPI Number
1215158035
Entity Type
Organization
Organization Name
North Florida Id P L
Primary Specialty
Specialist
Enumeration Date
May 1, 2007
Last Updated
Aug 3, 2007

Practice Location

Address
7257 NW 4TH BLVD
Address 2
#43
State
Florida
ZIP Code
32607-1600
Phone
(352) 375-0819

Authorized Official

Name
DR. ROBERT W. YANCEY JR., M.D.
Title
PRESIDENT
Phone
(352) 375-0819

Specialties & Taxonomy Codes

Specialty
Specialist

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