DR. GUSTAVO HENRIQUE BOFF MAEGAWA (NPI# 1366671380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366671380 |
Entity Type | Individual |
Full Name | DR. GUSTAVO HENRIQUE BOFF MAEGAWA |
Credential | M.D., PH.D. |
Practice Address |
1600 Sw Archer Rd Box 100296 Gainesville FL 32610-0296 |
Mailing Address |
1600 Sw Archer Rd Po Box 100296 Gainesville FL 32610-0296 |
Practice Telephone | 3526279350 |
Mailing Telephone | 3526279350 |
Enumeration Date | 2009-07-12 |
Last Update Date | 2015-11-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
D69890 | MD | Allopathic & Osteopathic Physicians |
N | 207SG0202X |
Medical Genetics Specialization: Clinical Biochemical Genetics |
D69890 | MD | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 015796200 | 05 | |
MD | 419002500 | 05 |
Street Address |
1600 SW ARCHER RD BOX 100296 |
City | GAINESVILLE |
State | FL |
Zip Code | 32610-0296 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669475554 | Walter J Milton | Radiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2005-05-24 |
1104427251 | Morgan Elizabeth Gilbert | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-11-05 |
1598365306 | Kristin Renee Lapham | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-30 |
1225638174 | Leigha Fridley | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-29 |
1962000950 | Kelli O'shaughnessy | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-13 |
1053919985 | Amber Lynn Bart | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-13 |
1134726847 | Emily Elizabeth Farhat | Social Worker | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-06 |
1346847944 | Nicholas Scott Duarte | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-06 |
1922613231 | Trinh Nguyen | Pharmacist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-09-14 |
1053926501 | Annalise Deboef | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-09-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
1619465754 | Carlos Eduardo Vervloet Sollero | Student in an Organized Health Care Education/Training Program | 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 | 2018-04-24 |
1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
1669887485 | Alejandro Jose Delgado | Dentist | 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 | 2014-07-01 |
1194167296 | Zain Shahid | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 | 2013-07-18 |
Find all providers in zip 32610 |
Taxonomy Code | 207SG0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Medical Genetics |
Specialization | Clinical Genetics (M.D.) |
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932300068 | Jane Marie Gregoritch | Medical Genetics | 10111 Sw 67th Dr, Gainesville, FL 32608-6379 | 2007-05-29 |
1427513266 | Cynthia Ann Moore | Medical Genetics | 440 Prior St Se, Gainesville, GA 30501-3402 | 2019-02-06 |
1740212182 | Charles A Williams | Medical Genetics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-07-07 |
1407887250 | Roberto T Zori | Medical Genetics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-07-06 |
1699702902 | Monique Ho | Medical Genetics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-26 |
1093756082 | Daniel J Driscoll | Medical Genetics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548814338 | Jose Fernando Arena | Medical Genetics | 9055 Sw 73rd Ct Apt 809, Pinecrest, FL 33156-2952 | 2019-07-30 |
1518201243 | Paldeep Singh Atwal | Medical Genetics | 214 Brazilian Ave Ste 230, Palm Beach, FL 33480-4676 | 2012-11-19 |
1114179991 | Mustafa Tekin | Medical Genetics | 1601 Nw 12th Ave Ste 5041, Dr. John T. Macdonald Found. Dept. of Human Genetics, Miami, FL 33136-1005 | 2008-10-13 |
1356381834 | Laura Susan Martin | Medical Genetics | 3333 Capital Oaks Dr, Tallahassee, FL 32308-4513 | 2006-06-07 |
1306818133 | Heather Stanley-christian | Medical Genetics | 17323 Pagonia Dr Ste 227, Clermont, FL 34711-5997 | 2006-02-06 |
1437152832 | Christopher B Griffith | Medical Genetics | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2005-05-31 |
1497378624 | David Brown & Associates, Pa | Medical Genetics | 2627 Ne 203rd St Ste 109, Miami, FL 33180-1945 | 2020-05-21 |
1508421660 | Heather Stanley-christian, Md Pa | Medical Genetics | 17323 Pagonia Dr Ste 227, Clermont, FL 34711-5997 | 2019-05-04 |
1316439888 | Advanced Preventative Health | Medical Genetics | 163 Sw Stonegate Ter Ste 109, Lake City, FL 32024-3459 | 2018-05-31 |
1639680614 | Lisa Jane Gillis | Medical Genetics | 601 5th St S, St Petersburg, FL 33701-4804 | 2017-10-18 |
Find all providers with the same taxonomy |
City | GAINESVILLE |
Zip Code | 32610 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.