Organization
FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Active
Other names
UF Health Family Medicine - Main
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY SIBISKI (EXECUTIVE VICE PRESIDENT)
(352) 265-8017
Entity
Organization
Contact information
Practice address
1707 N MAIN ST, GAINESVILLE, FL 32609-3650
(352) 265-7922
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053386628
—
FL
Enumeration date
12/12/2006
Last updated
11/24/2020
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