| Geriatrics Associates Of Gainesville Inc | |
|
6711 Millhopper Rd Gainesville FL 32653-3944 | |
| (352) 367-9700 | |
| (352) 367-1009 |
| Full Name | Geriatrics Associates Of Gainesville Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6711 Millhopper Rd, Gainesville, Florida |
| Authorized Official Name and Position | Wajid Khuddus (OWNER) |
| Authorized Official Contact | 3523679700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatrics Associates Of Gainesville Inc Po Box 141450 Gainesville FL 32614-1450 Ph: (352) 367-9700 | Geriatrics Associates Of Gainesville Inc 6711 Millhopper Rd Gainesville FL 32653-3944 Ph: (352) 367-9700 |
| NPI Number | 1245541135 |
|---|---|
| Provider Enumeration Date | 06/25/2010 |
| Last Update Date | 10/07/2010 |
| Medicare PECOS PAC ID | 4981737293 |
|---|---|
| Medicare Enrollment ID | O20140422001264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245541135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME93049 (Florida) | Primary |
| Provider Name | Wajid A Khuddus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689695371 PECOS PAC ID: 1759486137 Enrollment ID: I20070412000566 |
| Provider Name | Karen Elizabeth Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104197441 PECOS PAC ID: 4688838014 Enrollment ID: I20120614000201 |
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