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General NPI Number Information
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NPI Number | 1316826381
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Entity Type | Organization
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Legal Business Name | GATOREEG LLC
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 940 NW 17TH AVE
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City | GAINESVILLE
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State | FL
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Zip | 32609-3564
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Country | US
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Telephone | 813-817-5997
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Fax |
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Provider Business Mailing Address
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Address Line | 940 NW 17TH AVE
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City | GAINESVILLE
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State | FL
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Zip | 32609-3564
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Country | US
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Telephone | 813-817-5997
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Fax |
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Authorized Official
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Title or Position | TECH, OWNER
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Name | STEVEN ALEXANDER FINLAY
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Credential | R. EEG T.
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Telephone | 813-817-5997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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