Provider Information for 1962729822
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KATIE MARIE FIELDS
Sex: Female
NPI: 1962729822
Last Updated: 2025-02-05
Certification Date: 2025-02-05
Certification Date: 2025-02-05
Details
| Name | Value | ||||||||||||||||
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| NPI | 1962729822 | ||||||||||||||||
| Enumeration Date | 2010-04-30 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 4300 SW 13TH ST GAINESVILLE, FL 32608-4006 United States Phone: 352-374-5600 | Fax:352-374-5608 | ||||||||||||||||
| Primary Practice Address | 2830 NW 41ST ST STE E GAINESVILLE, FL 32606-6667 United States Phone: 352-262-9788 | Fax: | ||||||||||||||||
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