Wakefield, Dara Noelle
Wakefield, Dara Noelle is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-0275. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Wakefield, Dara Noelle can be contacted via phone (352) 273-7841.Contact Information
Primary practice address
1600 Sw Archer Rd
Gainesville FL 32610-0275
Phone: (352) 273-7841
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ME118904 | Florida |
Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | ME118904 | Florida |
Profile Details
NPI number | 1689877086 |
---|---|
LBN Legal business name | Wakefield, Dara Noelle |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2007 |
Last updated | Oct 29th, 2014 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689877086 | NPPES |
Florida | MEDICAID | 012754000 |
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