Organization
FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Active
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, RM HD-119 (EARLY STEPS), GAINESVILLE, FL 32610-3003
(352) 334-1499
(352) 392-7829
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
(352) 334-1499
(352) 392-7829
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053386602
—
FL
Enumeration date
12/21/2006
Last updated
07/19/2016
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