Va
NPI #1538679576 in Gainesville, Florida
Provider Information
- NPI Number
- 1538679576
- Entity Type
- Organization
- Organization Name
- Va
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Oct 4, 2017
- Last Updated
- Oct 4, 2017
Practice Location
- Address
- 1601 S.W. ARCHER ROAD
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32608-1197
- Phone
- (352) 376-1611
Authorized Official
- Name
- MR. THOMAS RICHARD OBRIEN, LPN
- Title
- LPN
- Phone
- (352) 376-1611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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