NPI 1093873754 · live from the CMS NPI Registry
Tetsuo Ashizawa, MD
Psychiatry & Neurology, Neurology in Gainesville, FL. National Provider Identifier 1093873754, active.
NPI record
| NPI | 1093873754 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 1600 Sw Archer Rd, Gainesville, FL 32610 |
| Practice phone | 352-273-5550 |
| Mailing address | Po Box 918025, Orlando, FL 32891 |
| Enumerated | December 5, 2006 |
| Last updated | October 20, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | E6717 (TX) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | ME105032 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.