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Contact Information

ATSUSHI ENDO, MD
1600 SW ARCHER RD
GAINESVILLE, FL32610-3706
 Phone: 352-273-7375
 Fax: 352-273-7388
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Orthopaedic Trauma

207XX0801X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ATSUSHI ENDO · (Male)

NPI # 1366517005
Status Active
Credentials MD
Entity Individual
Enumeration date 11/21/2006
Last updated 06/22/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C152920
  • FL License # ME140212
  • GA License # 85016
  • MA License # 266010
  • MI License # 4301085697
  • FL Medicaid 103407600
Hospital affiliation(s)
  • NEW ENGLAND BAPTIST HOSPITAL - (Acute Care)
    125 PARKER HILL AVENUE
    BOSTON, MA 02120
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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