Healthcare Provider Details

I. General information

NPI: 1689816316
Provider Name (Legal Business Name): GERIATRICS AND INTERNAL MEDICINE PRACTICES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2009
Last Update Date: 06/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3921 SW 34TH ST SUITE 201
GAINESVILLE FL
32608-6560
US

IV. Provider business mailing address

PO BOX 141045
GAINESVILLE FL
32614-1045
US

V. Phone/Fax

Practice location:
  • Phone: 352-336-3050
  • Fax: 352-337-2571
Mailing address:
  • Phone: 352-367-9700
  • Fax: 352-367-1009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberME83771
License Number StateFL

VIII. Authorized Official

Name: DR. JULIE ZHU
Title or Position: OWNER
Credential: MD
Phone: 352-367-9700