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Contact Information

ADETOLA F LOUIS JACQUES, MD
1600 SW ARCHER RD
GAINESVILLE, FL32610-3603
 Phone: 352-273-7584
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ADETOLA F LOUIS JACQUES · (Female)

NPI Number 1851611123
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2010
Last updated 07/12/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME132996
  • PA License # MT198091
  • FL Medicaid 021637700
  • FL Other JTH59 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • SHANDS HOSPITAL AT THE UNIVERSITY OF FLORIDA - (Acute Care)
    1600 SW ARCHER RD
    GAINESVILLE, FL 32610
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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