Healthcare Provider Details

I. General information

NPI: 1093403859
Provider Name (Legal Business Name): RHONDA GRIESER MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2023
Last Update Date: 04/28/2023
Certification Date: 04/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

529 NW 60TH ST
GAINESVILLE FL
32607-2008
US

IV. Provider business mailing address

4020 SW 78TH ST
GAINESVILLE FL
32608-3608
US

V. Phone/Fax

Practice location:
  • Phone: 352-331-5100
  • Fax:
Mailing address:
  • Phone: 352-443-9676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: