# FLORIDA CLINICAL PRACTICE ASSOCIATION INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FLORIDA CLINICAL PRACTICE ASSOCIATION INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861976516
- **Legal business name:** FLORIDA CLINICAL PRACTICE ASSOCIATION INC
- **Authorized official:** JEREMY SIBISKI (EXECUTIVE DIRECTOR OF FIN & ADMIN)
- **Authorized official phone:** (352) 265-8017

## Contact information

- **Practice address:** 10435 SE 170TH PL, SUMMERFIELD, FL 34491-8998
- **Practice address phone:** (352) 259-5658
- **Mailing address:** PO BOX 13833, PHILADELPHIA, PA 19101-3833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 09/19/2018
- **Last updated:** 09/19/2018