Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | ME57518 | FL |
NPI | 1114074101 |
---|---|
Provider Name | Dr. Gregory J Bailey |
First Address | Gainesville, FL 32605-4381 |
Second Address | Gainesville, FL 32605-4381 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 28/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
063540500 | (05) | FL |
E61641 | (02) | FL |