# FLORIDA CLINICAL PRACTICE ASSOCIATION INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083778211
- **Authorized official:** JEREMY SIBISKI (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (352) 265-8017

## Contact information

- **Practice address:** 1600 SW ARCHER RD, RM HD-119 (EARLY STEPS), GAINESVILLE, FL 32610-3003
- **Practice address phone:** (352) 334-1499
- **Practice address fax:** (352) 392-7829
- **Mailing address:** PO BOX 13833, PHILADELPHIA, PA 19101-3833
- **Mailing address phone:** (352) 334-1499
- **Mailing address fax:** (352) 392-7829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 07/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 053386602 | — | FL |