Healthcare Provider Details

I. General information

NPI: 1336119882
Provider Name (Legal Business Name): GAINESVILLE PATHOLOGY GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 SW 2ND AVE DEPARTMENT OF PATHOLOGY
GAINESVILLE FL
32601-6210
US

IV. Provider business mailing address

801 SW 2ND AVE DEPARTMENT OF PATHOLOGY
GAINESVILLE FL
32601-6210
US

V. Phone/Fax

Practice location:
  • Phone: 352-338-6740
  • Fax:
Mailing address:
  • Phone: 352-338-6740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CAROLYN M HOPKINS
Title or Position: PRESIDENT GAINESVILLE PATHOLOGY GRO
Credential: MD
Phone: 352-338-6740