Organization
ACCENT PHYSICIAN SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER NICHOLE DOCKENEY (CREDENTIALING SUPERVISOR)
(352) 372-9414
Entity
Organization
Contact information
Practice address
4340 W NEWBERRY RD, SUITE 301, GAINESVILLE, FL 32607-2557
(352) 372-9414
(352) 271-5393
Mailing address
4340 W NEWBERRY RD, SUITE 301, GAINESVILLE, FL 32607-2557
(352) 372-9414
(352) 271-5393
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
208200000X
Plastic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112807700
—
FL
05
—
276359103
—
FL
01
—
40297
BCBS FL
FL
Enumeration date
06/19/2006
Last updated
01/12/2023
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