Organization
FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN A. DEWAR (CEO UFP)
(352) 265-8309
Entity
Organization
Contact information
Practice address
4800 SW 35TH DR, GAINESVILLE, FL 32608-7686
(352) 265-7922
Mailing address
PO BOX 109401, ATLANTA, GA 30348-8401
(352) 265-7922
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030048900
—
FL
01
—
690003337
RR MEDICARE
FL
Enumeration date
12/12/2006
Last updated
05/08/2026
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