Provider Demographics
NPI:1083645675
Name:GAINERS-HASUGLUW, VALPERSIA D (DO)
Entity Type:Individual
Prefix:
First Name:VALPERSIA
Middle Name:D
Last Name:GAINERS-HASUGLUW
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8015 POWDERHORN CIR
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33773-1662
Mailing Address - Country:US
Mailing Address - Phone:727-532-0432
Mailing Address - Fax:
Practice Address - Street 1:10000 BAYPINES BOULEVARD
Practice Address - Street 2:
Practice Address - City:BAYPINES
Practice Address - State:FL
Practice Address - Zip Code:33744
Practice Address - Country:US
Practice Address - Phone:727-398-6661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9072207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine