| Alan A Goldblatt Md Pa | |
|
2205 Nw 40th Ter Ste B Gainesville FL 32605-3500 | |
| (352) 375-1999 | |
| (352) 375-1677 |
| Full Name | Alan A Goldblatt Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2205 Nw 40th Ter, Gainesville, Florida |
| Authorized Official Name and Position | Alan Goldblatt (PRESIDENT/OWNER) |
| Authorized Official Contact | 3523750332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan A Goldblatt Md Pa Po Box 147050 Pmb 519 Gainesville FL 32614-7050 Ph: (352) 375-0332 | Alan A Goldblatt Md Pa 2205 Nw 40th Ter Ste B Gainesville FL 32605-3500 Ph: (352) 375-1999 |
| NPI Number | 1891725628 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 02/18/2011 |
| Medicare PECOS PAC ID | 6406833219 |
|---|---|
| Medicare Enrollment ID | O20040630000513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891725628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Gilbert R Fortus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356311385 PECOS PAC ID: 0345343943 Enrollment ID: I20070320000590 |
| Provider Name | Bobby Ray Lafferty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073511978 PECOS PAC ID: 0143126656 Enrollment ID: I20070508000180 |
| Provider Name | Charles J Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245282797 PECOS PAC ID: 8123103660 Enrollment ID: I20100828000177 |
| Provider Name | Robert G Ashley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275649766 PECOS PAC ID: 3779608567 Enrollment ID: I20100916001019 |
| Provider Name | Joel E Rich |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1952336000 PECOS PAC ID: 4981720828 Enrollment ID: I20100928001021 |
| Provider Name | Prabir Banik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588779110 PECOS PAC ID: 3678536521 Enrollment ID: I20111026000189 |
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