Organization
FAMILY PRACTICE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENE LEE PACK MD (PRESIDENT)
(352) 372-7800
Entity
Organization
Contact information
Practice address
4410 W NEWBERRY RD STE B, GAINESVILLE, FL 32607-2290
(352) 372-7800
(352) 372-7879
Mailing address
4410 W NEWBERRY RD STE B, GAINESVILLE, FL 32607-2290
(352) 372-7800
(352) 372-7879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45751
BCBS GROUP NUMBER
FL
Enumeration date
07/06/2006
Last updated
07/21/2022
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