Healthcare Provider Details

I. General information

NPI: 1881503225
Provider Name (Legal Business Name): MK HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7220 W UNIVERSITY AVE STE A
GAINESVILLE FL
32607-1639
US

IV. Provider business mailing address

7220 W UNIVERSITY AVE STE A
GAINESVILLE FL
32607-1639
US

V. Phone/Fax

Practice location:
  • Phone: 352-765-9270
  • Fax: 352-765-9280
Mailing address:
  • Phone: 352-765-9270
  • Fax: 352-765-9280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN GRAY
Title or Position: OPERATIONS DIRECTOR/OWNER
Credential:
Phone: 352-765-9270