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Organization
FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Active
Organization
FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Active
Other names
Pediatric Neonatology Group
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY SIBISKI (EXECUTIVE VICE PRESIDENT)
(352) 265-8017
Entity
Organization
Contact information
Practice address
1600 SW ARCHER RD, # 100296, GAINESVILLE, FL 32610-0296
(352) 273-8985
(352) 392-4533
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
(352) 392-4195
(352) 392-4533
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
053386601
FL
Other
Enumeration date
06/05/2007
Last updated
07/19/2016
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