DR. GUSTAVO HENRIQUE BOFF MAEGAWA


Address: 1600 Sw Archer Rd, Box 100296, Gainesville, FL 32610-0296
Phone: 3526279350

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL 015796200 05
MD 419002500 05

Office Location

Street Address 1600 SW ARCHER RD
BOX 100296
City GAINESVILLE
State FL
Zip Code 32610-0296

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207SG0201X
Grouping Allopathic & Osteopathic Physicians
Classification Medical Genetics
Specialization Clinical Genetics (M.D.)

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City GAINESVILLE
Zip Code 32610

Improve Information

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Dataset Information

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.

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