Healthcare Provider Details

I. General information

NPI: 1609331420
Provider Name (Legal Business Name): ERAYSY MACHIN MARTINEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ERAYSY MACHIN MD

II. Dates (important events)

Enumeration Date: 02/06/2019
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-0301
  • Fax: 352-265-0627
Mailing address:
  • Phone: 352-265-0301
  • Fax: 352-265-0627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME174465
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: