Florida Medical & Allergy Centers LLC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

ME88098 Issued in FL

Legal business name

FLORIDA MEDICAL & ALLERGY CENTERS LLC

Doing business as

Gainesville Medical Centers

Practice address

926 NW 13TH St
Gainesville, FL 32601-4140

Phone

(352) 505-9355

Fax

(352) 327-3649

NPI assigned

Oct 30, 2015

Last updated

Mar 20, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas J Raulerson, MD

Title

Medical Director

Phone

(352) 505-9355

Specialties & licenses 2

Addresses

Other names 1

• Gainesville Medical Centers Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1033581996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 NW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014140",
            "telephone_number": "352-505-9355",
            "fax_number": "352-327-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 NW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014140",
            "telephone_number": "352-505-9355",
            "fax_number": "352-327-3649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 NW 13th St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326012904",
            "country_code": "US",
            "telephone_number": "352-505-9355",
            "fax_number": "352-327-3649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA MEDICAL & ALLERGY CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "RAULERSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "352-505-9355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "ME88098",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME88098",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gainesville Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gainesville Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Allergy Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Allergy Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.