Healthcare Provider Details

I. General information

NPI: 1851037378
Provider Name (Legal Business Name): ISAAC LOSEKE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2022
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 W NEWBERRY RD
GAINESVILLE FL
32605-4309
US

IV. Provider business mailing address

22 SUNSET LN
ALEXANDER NC
28701-9791
US

V. Phone/Fax

Practice location:
  • Phone: 352-333-5980
  • Fax:
Mailing address:
  • Phone: 828-768-4456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberOS21601
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: