| Organization Name: | CMS GAINSVILLE |
| NPI Number: | 1316913379 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CATHY KEATHLEY (PROGRAM ADMINISTRATOR) |
| Mailing Address: | 1701 Sw 16th Ave Gainesville |
| State: | FL US |
| Postal Code: | 32608 |
| Phone Number: | 3523341400 |
| Fax Number: | 3523341476 |
| NPI Enumeration Date: | 02/28/2006 |
| NPI Last Update Date: | 08/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |