National Provider Identifier Database

PREVENTIVE MEDICINE CTR OF GAINESVILLE INC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

PREVENTIVE MEDICINE CTR OF GAINESVILLE INC
905 NW 56TH TERRACE
SUITE B
GAINESVILLE, FL32605
Phone: 352-331-5138
Fax: 352-331-9399
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for PREVENTIVE MEDICINE CTR OF GAINESVILLE INC

NPI Number 1063546133
Legal business name
LBN
PREVENTIVE MEDICINE CTR OF GAINESVILLE INC
Authorized official ROBERT ERICKSON - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/14/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • FL Other: ME22324 STATE ID

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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