# FLORIDA CLINICAL PRACTICE ASSOCIATION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pediatric Neonatology Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952503567
- **Authorized official:** JEREMY SIBISKI (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (352) 265-8017

## Contact information

- **Practice address:** 1600 SW ARCHER RD, \# 100296, GAINESVILLE, FL 32610-0296
- **Practice address phone:** (352) 273-8985
- **Practice address fax:** (352) 392-4533
- **Mailing address:** PO BOX 13833, PHILADELPHIA, PA 19101-3833
- **Mailing address phone:** (352) 392-4195
- **Mailing address fax:** (352) 392-4533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 053386601 | FL | Yes |

## Other

- **Enumeration date:** 06/05/2007
- **Last updated:** 07/19/2016