Provider Demographics
NPI:1508181678
Name:ALOIS, MARIKA (MD)
Entity Type:Individual
Prefix:
First Name:MARIKA
Middle Name:
Last Name:ALOIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 SW ARCHER RD
Mailing Address - Street 2:BOX 100277
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0140
Mailing Address - Country:US
Mailing Address - Phone:352-265-0140
Mailing Address - Fax:352-265-7092
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:BOX 100277
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-0140
Practice Address - Country:US
Practice Address - Phone:352-265-0140
Practice Address - Fax:352-265-7092
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY270207207Q00000X
FLME125427207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL018478100Medicaid
FL018478100Medicaid