| Haile Medical Group Pa | |
|
4750 Sw 91st Dr Ste A Gainesville FL 32608-8140 | |
| (352) 367-9602 | |
| Not Available |
| Full Name | Haile Medical Group Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4750 Sw 91st Dr Ste A, Gainesville, Florida |
| Authorized Official Name and Position | Nichole Osborne (MANAGER) |
| Authorized Official Contact | 3523679602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haile Medical Group Pa 4750 Sw 91st Dr Ste A Gainesville FL 32608-8140 Ph: (352) 367-9602 | Haile Medical Group Pa 4750 Sw 91st Dr Ste A Gainesville FL 32608-8140 Ph: (352) 367-9602 |
| NPI Number | 1851433197 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 02/25/2009 |
| Medicare PECOS PAC ID | 0749225589 |
|---|---|
| Medicare Enrollment ID | O20050623000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851433197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Elizabeth E Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720313950 PECOS PAC ID: 4183764632 Enrollment ID: I20091215000261 |
| Provider Name | Alexander S Kaye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720010986 PECOS PAC ID: 9436285459 Enrollment ID: I20100330000290 |
| Provider Name | Kimberly A Kaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326064791 PECOS PAC ID: 5294770921 Enrollment ID: I20100623000667 |
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