Banks, Judith Rae

Banks, Judith Rae is an individual health care provider with primary practice located at 6440 W Newberry Rd Suite 405, Gainesville FL 32605-4381. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Banks, Judith Rae can be contacted via phone (352) 333-5405.

Contact Information

Primary practice address
6440 W Newberry Rd Suite 405 Gainesville FL 32605-4381
Phone: (352) 333-5405
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME 39977 Florida

Profile Details

NPI number 1942263231
LBN Legal business name Banks, Judith Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2006
Last updated Nov 3rd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942263231 NPPES
Florida MEDICAID 002446800

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