Healthcare Provider Details

I. General information

NPI: 1093970121
Provider Name (Legal Business Name): MARCUS MUEHLBAUER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2008
Last Update Date: 02/05/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 SW 16TH ST SUITE 5251 UNIVERSITY OF FLORIDA
GAINESVILLE FL
32608
US

IV. Provider business mailing address

6400 W NEWBERRY ROAD SUITE 302
GAINESVILLE FL
32605
US

V. Phone/Fax

Practice location:
  • Phone: 919-265-4874
  • Fax:
Mailing address:
  • Phone: 352-331-8902
  • Fax: 352-224-1094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number2014-01057
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberME121643
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: