John a Dryfuss Jr MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME0015017 Issued in FL

Legal business name

JOHN A DRYFUSS JR MD PA

Practice address

7109 NW 11TH PL
Ste C
Gainesville, FL 32605-3170

Phone

(352) 331-1773

Fax

(352) 331-1814

NPI assigned

Nov 4, 2011

Organization subpart

Yes

Parent organization

JOHN A DRYFUSS JR MD PAAs reported in NPPES

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

Authorized official

Name

Dr. John A Dryfuss Jr., M.D. P.A.

Title

President

Phone

(352) 331-1773

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

John a Dryfuss Jr MD

Locations

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1215214259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 NW 11TH PL",
            "address_2": "STE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053170",
            "telephone_number": "352-331-1773",
            "fax_number": "352-331-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 NW 11TH PL",
            "address_2": "STE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053170",
            "telephone_number": "352-331-1773",
            "fax_number": "352-331-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A DRYFUSS JR MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN A DRYFUSS JR MD PA",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "DRYFUSS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-331-1773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D. P.A."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0015017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0355799500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.