Gainesville Urology Center Pa

LBN: Gainesville Urology Center Pa
Gainesville Urology Center Pa is an health care organization with primary practice located at 4881 Nw 8Th Ave Suite 2, Gainesville FL 32605-4582. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Gainesville Urology Center Pa can be contacted via phone (352) 373-6338, or through Gaddy, Clark Dale via phone (352) 373-6338.

Contact Information

Primary practice address
4881 Nw 8Th Ave Suite 2 Gainesville FL 32605-4582
Phone: (352) 373-6338
Fax: (352) 373-6144
Website:
Map and Directions
Authorized official contact:
Name: Gaddy, Clark Dale Doctor of Medicine (MD)
Phone: (352) 373-6338

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME0048155 Florida

Profile Details

NPI number 1750487872
LBN Legal business name Gainesville Urology Center Pa
DBA Doing business as
Authorized official Gaddy, Clark Dale Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750487872 NPPES
Florida Other 43583 BCBS FL GROUP NUMBER

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