Dr. Gustavo Henrique Boff Maegawa
Clinical Genetics (M.D.)
1600 Sw Archer Rd Box 100296
Gainesville
, Florida 32610-0296
Dr. Gustavo Henrique Boff Maegawa
Clinical Genetics (M.D.)
1600 Sw Archer Rd Box 100296
Gainesville
, Florida 32610-0296
(352) 627-9350
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About
Features
Specialties
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Dr. Gustavo Henrique Boff Maegawa
- 1600 Sw Archer Rd Po Box 100296
- Gainesville, FL
- Zip : 32610-0296
- Phone : (352) 627-9350
Second Address
- Dr. Gustavo Henrique Boff Maegawa
- 1600 Sw Archer Rd Box 100296
- Gainesville, FL
- Zip : 32610-0296
- Phone : (352) 627-9350
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | D69890 | MD |
National Provider Identifier
| NPI | 1366671380 |
|---|---|
| Provider Name | Dr. Gustavo Henrique Boff Maegawa |
| First Address | Gainesville, FL 32610-0296 |
| Second Address | Gainesville, FL 32610-0296 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2009 |
| Last Update Date | 24/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 015796200 | (05) | FL |
| 419002500 | (05) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.