Provider Demographics
NPI:1972798155
Name:OXFORD-PICKERAL, MISTI GAYLE (MAC, AP)
Entity Type:Individual
Prefix:MS
First Name:MISTI
Middle Name:GAYLE
Last Name:OXFORD-PICKERAL
Suffix:
Gender:F
Credentials:MAC, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 NW 5TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-2259
Mailing Address - Country:US
Mailing Address - Phone:352-213-6841
Mailing Address - Fax:
Practice Address - Street 1:305 SE 2ND AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-6811
Practice Address - Country:US
Practice Address - Phone:352-213-6841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2418171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist