| Donald E Grabove, Md, Pa | |
|
3601 Sw 2nd Ave Suite Q Gainesville FL 32607-2803 | |
| (352) 367-0100 | |
| (352) 367-1330 |
| Full Name | Donald E Grabove, Md, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 3601 Sw 2nd Ave, Gainesville, Florida |
| Authorized Official Name and Position | Donald E Grabove (CEO) |
| Authorized Official Contact | 3523670100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald E Grabove, Md, Pa 3601 Sw 2nd Ave Suite Q Gainesville FL 32607-2803 Ph: (352) 367-0100 | Donald E Grabove, Md, Pa 3601 Sw 2nd Ave Suite Q Gainesville FL 32607-2803 Ph: (352) 367-0100 |
| NPI Number | 1053604926 |
|---|---|
| Provider Enumeration Date | 05/25/2011 |
| Last Update Date | 05/25/2011 |
| Medicare PECOS PAC ID | 6406033299 |
|---|---|
| Medicare Enrollment ID | O20110603000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053604926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME62726 (Florida) | Primary |
| Provider Name | Donald E Grabove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730187139 PECOS PAC ID: 3375720170 Enrollment ID: I20110603000244 |
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