Healthcare Provider Details

I. General information

NPI: 1023571783
Provider Name (Legal Business Name): BRIAN XAVIER CONTRERAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2019
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7485 SW 17TH RD
GAINESVILLE FL
32607-1000
US

IV. Provider business mailing address

7485 SW 17TH RD
GAINESVILLE FL
32607-1000
US

V. Phone/Fax

Practice location:
  • Phone: 352-333-5700
  • Fax:
Mailing address:
  • Phone: 352-333-5700
  • Fax: 352-376-4975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberBP10066657
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME165268
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: