person
Mickey L Bath, PAC
Medical Physician Assistant in Gainesville, Florida
NPI 1053376012

Mickey L Bath is a Medical Physician Assistant based in Orlando, FL and is specialized in Medical. Mickey L Bath practices in Gainesville, FL and has the professional credentials of PAC. The NPI Number for Mickey L Bath is 1053376012 and holds a License No. PA 0002191 (Florida).

The current practice location address for Mickey L Bath is 1600 Sw Archer Rd, Gainesville, FL and can be reached out via phone at 352-392-1161 and via fax at 352-392-5127. You can also correspond with Mickey L Bath through the mailing address at PO BOX 918025, ORLANDO, FL - 32891-8025 (mailing address contact number: 352-392-1161).

Location: 1600 Sw Archer Rd, Gainesville, FL, 32891-8025
person
Provider Profile Details
NPI Number
1053376012
Provider Name
Mickey L Bath
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
1600 Sw Archer Rd, Gainesville, FL, 32891-8025
Phone Number
352-392-1161
Fax Number
352-392-5127
Provider Enumeration Date
04/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002794900 05 FL
institution
Provider Business Practice Location Address Details
Address
1600 Sw Archer Rd
City
State
Zip
32610-3003
Phone Number
352-392-1161
Fax Number
352-392-5127
person
Provider Business Mailing Address Details
Address
1600 Sw Archer Rd
City
State
Zip
32610-3003
Phone Number
352-392-1161
Fax Number
352-392-5127
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA 0002191 (Florida)
Definition
Definition to come...
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