Organization
FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Active
Other names
UF Health Family Medicine - Eastside
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN DEWAR MD (CEO)
(352) 265-8309
Entity
Organization
Contact information
Practice address
410 NE WALDO RD, GAINESVILLE, FL 32641-5685
(352) 265-7922
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053386625
—
FL
Enumeration date
12/12/2006
Last updated
04/12/2022
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