Provider Demographics
NPI:1780896639
Name:WILLIAM GAYA MD PA
Entity type:Organization
Organization Name:WILLIAM GAYA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GAYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-732-7233
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-0010
Mailing Address - Country:US
Mailing Address - Phone:352-732-7233
Mailing Address - Fax:352-732-0239
Practice Address - Street 1:801 SW 1ST AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-0980
Practice Address - Country:US
Practice Address - Phone:352-732-7233
Practice Address - Fax:352-732-0239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME738542084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5988601OtherAETNA
FLDF8762OtherRAILROAD MEDICARE
FL59274OtherAVMED
FL41471OtherBCBS
FL3714560-004OtherCIGNA
FL39821OtherFREEDOM
FLG45191Medicare UPIN
FL59274OtherAVMED