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General NPI Number Information
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NPI Number | 1124083282
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Entity Type | Organization
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Legal Business Name | URGENT CARE CENTER OF GAINESVILLE
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3925 NW 43RD ST
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City | GAINESVILLE
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State | FL
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Zip | 32606-4565
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Country | US
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Telephone | 352-371-1777
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Fax | 352-371-0298
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Provider Business Mailing Address
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Address Line | 3925 NW 43RD ST
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City | GAINESVILLE
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State | FL
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Zip | 32606-4565
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Country | US
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Telephone | 352-371-1777
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Fax | 352-371-0298
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Authorized Official
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Title or Position | PRESIDENT/MEDICAL DIRECTOR
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Name | DR. ROGELIO V PAMINTUAN
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Credential | M.D.
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Telephone | 352-371-1777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | FL
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