Healthcare Provider Details

I. General information

NPI: 1144662107
Provider Name (Legal Business Name): EVA VERTES GEORGE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2013
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6504 NW 50TH LN
GAINESVILLE FL
32653-3933
US

IV. Provider business mailing address

6504 NW 50TH LN
GAINESVILLE FL
32653-3933
US

V. Phone/Fax

Practice location:
  • Phone: 352-272-0824
  • Fax: 850-522-7205
Mailing address:
  • Phone: 352-272-0824
  • Fax: 850-522-7205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberME136069
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: