Healthcare Provider Details

I. General information

NPI: 1548083959
Provider Name (Legal Business Name): ANNA MURRAY LYNCH PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNA KATHERINE MURRAY

II. Dates (important events)

Enumeration Date: 11/04/2024
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 W NEWBERRY RD
GAINESVILLE FL
32605-4309
US

IV. Provider business mailing address

4343 NEWBERRY RD STE 18
GAINESVILLE FL
32607-2826
US

V. Phone/Fax

Practice location:
  • Phone: 352-333-4000
  • Fax:
Mailing address:
  • Phone: 352-224-4090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number9121438
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: