| Gainesville After Hours Clinic | |
|
1050 Nw 8th Ave Ste 20 Gainesville FL 32601-4998 | |
| (352) 379-7900 | |
| Not Available |
| Full Name | Gainesville After Hours Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1050 Nw 8th Ave Ste 20, Gainesville, Florida |
| Authorized Official Name and Position | Matthew R Odom (PRESIDENT) |
| Authorized Official Contact | 3523734107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gainesville After Hours Clinic 9111 Sw 53rd Pl Ste C Gainesville FL 32608-3035 Ph: (352) 373-4107 | Gainesville After Hours Clinic 1050 Nw 8th Ave Ste 20 Gainesville FL 32601-4998 Ph: (352) 379-7900 |
| NPI Number | 1780605865 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 12/13/2017 |
| Medicare PECOS PAC ID | 7315966850 |
|---|---|
| Medicare Enrollment ID | O20051115000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780605865 | NPI | - | NPPES |
| PENDING | Medicaid | FL | |
| 280423 | Other | AVMED | |
| 38426 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Thomas Raulerson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568486611 PECOS PAC ID: 4183698251 Enrollment ID: I20040824000755 |
| Provider Name | Peter M Gallogly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053476226 PECOS PAC ID: 0143279810 Enrollment ID: I20050120000118 |
| Provider Name | David Eliot Kemp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912917063 PECOS PAC ID: 8123208626 Enrollment ID: I20110215000525 |
| Provider Name | Matthew Odom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780828988 PECOS PAC ID: 2769645126 Enrollment ID: I20120522000996 |
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