Provider Demographics
NPI:1770511834
Name:PATHOLOGY ASSOCIATES OF NORTH FLORIDA, P.A.
Entity Type:Organization
Organization Name:PATHOLOGY ASSOCIATES OF NORTH FLORIDA, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:WILKINS
Authorized Official - Last Name:GOLDBLATT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-333-4955
Mailing Address - Street 1:PO BOX 147050
Mailing Address - Street 2:PMB 509
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32614-7050
Mailing Address - Country:US
Mailing Address - Phone:352-375-0166
Mailing Address - Fax:352-375-1677
Practice Address - Street 1:6500 W NEWBERRY RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4309
Practice Address - Country:US
Practice Address - Phone:352-333-4955
Practice Address - Fax:352-333-4284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory