Gaines, John L

Gaines, John L is an individual health care provider with primary practice located at 530 Zeagler Dr Suite A, Palatka FL 32177-6855. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gaines, John L can be contacted via phone (386) 328-8358.

Contact Information

Primary practice address
530 Zeagler Dr Suite A Palatka FL 32177-6855
Phone: (386) 328-8358
Fax: (386) 325-0365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME38167 Florida

Profile Details

NPI number 1508847021
LBN Legal business name Gaines, John L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jul 2nd, 2008 - about 18 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 1508847021 NPPES
Florida Other 54048 BLUE CROSS/BLUE SHIELD
Florida MEDICAID 065427200 BLUE CROSS/BLUE SHIELD
Florida Other 110158966 BLUE CROSS/BLUE SHIELD

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