Healthcare Provider Details

I. General information

NPI: 1912335324
Provider Name (Legal Business Name): NSABIMANA ALAIN UWUMUGAMBI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2013
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date: 05/27/2014
Reactivation Date: 06/30/2014

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3001
US

IV. Provider business mailing address

PO BOX 100276 SIGNATURE HEALTHCARE
GAINESVILLE FL
32610-0276
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-7955
  • Fax:
Mailing address:
  • Phone: 352-265-7955
  • Fax: 352-265-7996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number269341
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberME181682
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: