Wakefield, Dara Noelle

Wakefield, Dara Noelle is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-0275. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Wakefield, Dara Noelle can be contacted via phone (352) 273-7841.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-0275
Phone: (352) 273-7841
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME118904 Florida
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X ME118904 Florida

Profile Details

NPI number 1689877086
LBN Legal business name Wakefield, Dara Noelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Oct 29th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689877086 NPPES
Florida MEDICAID 012754000

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