Healthcare Provider Details

I. General information

NPI: 1992946461
Provider Name (Legal Business Name): GAINESVILLE PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2009
Last Update Date: 11/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 NW 9TH BLVD
GAINESVILLE FL
32605-4251
US

IV. Provider business mailing address

2000 HEALTH PARK DR
BRENTWOOD TN
37027-4525
US

V. Phone/Fax

Practice location:
  • Phone: 352-333-6680
  • Fax: 352-331-4006
Mailing address:
  • Phone: 615-372-5426
  • Fax: 866-831-4898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN MARK RODKEY
Title or Position: VICE PRESIDENT
Credential:
Phone: 850-523-3816