# FLORIDA CLINICAL PRACTICE ASSOCIATION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UF Health Family Medicine - Main
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144380718
- **Authorized official:** JEREMY SIBISKI (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (352) 265-8017

## Contact information

- **Practice address:** 1707 N MAIN ST, GAINESVILLE, FL 32609-3650
- **Practice address phone:** (352) 265-7922
- **Mailing address:** PO BOX 13833, PHILADELPHIA, PA 19101-3833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 11/24/2020