Healthcare Provider Details

I. General information

NPI: 1467504274
Provider Name (Legal Business Name): WOMENS PELVIC HEALTH AND CONTINENCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 01/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6440 W NEWBERRY RD SUITE 409
GAINESVILLE FL
32605-4381
US

IV. Provider business mailing address

6440 W NEWBERRY RD SUITE 409
GAINESVILLE FL
32605-4381
US

V. Phone/Fax

Practice location:
  • Phone: 352-333-6161
  • Fax: 352-333-6162
Mailing address:
  • Phone: 352-333-6161
  • Fax: 352-333-6162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. GREGORY J BAILEY
Title or Position: OWNER,PRESIDENT
Credential: MD
Phone: 352-333-6161