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NPI Code Detail

MEDICARE: MICHAEL J DALLOLIO MD

MEDICARE: MICHAEL J DALLOLIO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician39314FL
22084P0800XPsychiatry Physician10814ND
32084P0802XAddiction Psychiatry Physician10814ND

General Provider Information

NPI Number : 1972531226
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL J DALLOLIO MD
Provider Business Mailing Address
First Line : 4001 SW 13TH ST
Second Line :
City : GAINESVILLE
State : FL
Zip : 32608-3513
Country : US
Telephone Number : 352-265-5549
Fax Number : 352-265-5506
Provider Business Practice Location Address
First Line : 1600 SW ARCHER RD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32610-3003
Country : US
Telephone Number : 352-294-4900
Fax Number : 352-294-9887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 06/17/2026

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