Individual provider · Type 1 NPI

Eleazar Domingo Fariscal, DO, DPT

General Practice Physician · Gainesville, FL

NPI number 1851619993 Active

Practice location

1600 SW Archer Rd
Gainesville, FL 32610-4638

Mailing address

9005 SW 70th Ln
Gainesville, FL 32608-5394

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X11023156A (IN)
Physical Therapist 225100000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Physician Primary 208D00000XOS21335 (FL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1851619993

Eleazar Domingo Fariscal, DO, DPT's National Provider Identifier is 1851619993, issued on May 13, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Gainesville, FL. The record was last updated on Nov 23, 2024.