Provider Demographics
NPI:1982659231
Name:RIPLEY, DAYLENE L (MD)
Entity Type:Individual
Prefix:
First Name:DAYLENE
Middle Name:L
Last Name:RIPLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:6440 W NEWBERRY RD
Mailing Address - Street 2:STE 103
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4384
Mailing Address - Country:US
Mailing Address - Phone:352-333-5946
Mailing Address - Fax:352-333-5947
Practice Address - Street 1:6440 W NEWBERRY RD
Practice Address - Street 2:MAB STE 103
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4381
Practice Address - Country:US
Practice Address - Phone:352-333-5946
Practice Address - Fax:352-333-5947
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2013-06-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME73553207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00419162OtherRAILROAD MEDICARE
FLP00419162OtherRAILROAD MEDICARE