Basic Information
| Provider Information | |||||||||
| NPI: | 1598128969 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | XAVIER | ||||||||
| FirstName: | SNEH | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 100238 | ||||||||
| Address2: | |||||||||
| City: | GAINESVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 326100238 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3522948278 | ||||||||
| FaxNumber: | 3522650379 | ||||||||
| Practice Location | |||||||||
| Address1: | 1600 SW ARCHER RD | ||||||||
| Address2: | |||||||||
| City: | GAINESVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 326103003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3522948278 | ||||||||
| FaxNumber: | 3522650379 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/01/2016 | ||||||||
| LastUpdateDate: | 06/08/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/08/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 57.027825 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | 57.027825 | OH | N | Allopathic & Osteopathic Physicians | Pediatrics | 207R00000X | ME144947 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.