Healthcare Provider Details

I. General information

NPI: 1467286948
Provider Name (Legal Business Name): MAIRA DE OLIVEIRA SARPI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2024
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-0374
US

IV. Provider business mailing address

1600 SW ARCHER RD
GAINESVILLE FL
32610-0374
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-0291
  • Fax: 352-265-0279
Mailing address:
  • Phone: 352-265-0291
  • Fax: 352-265-0279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number0000
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: