Organization
SHANDS TEACHING HOSPITAL AND CLINICS INC
Active
Parent organization
SHANDS TEACHING HOSPITAL AND CLINICS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHANDS TEACHING HOSPITAL AND CLINICS INC
Authorized official
MR. MICHAEL D. HOLMES (CEO)
(352) 733-1500
Entity
Organization
Contact information
Practice address
3951 NW 48TH TER, STE 101, GAINESVILLE, FL 32606-7229
(352) 265-5230
(352) 265-5231
Mailing address
PO BOX 100303, GAINESVILLE, FL 32610-0303
(352) 627-9045
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4286
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378448700
—
FL
01
—
CH9176
MEDICARE RAIL ROAD
FL
Enumeration date
09/21/2006
Last updated
12/31/2025
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