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Organization

ERNEST J BORDINI PHD & ASSOC PA

Active
Other names
Clinical Psychology Assoc of North Central Florida PA
Organization subpart
No

Provider details

NPI number
Authorized official
ERNEST J BORDINI PHD (OWNER-PRESIDENT)
(352) 336-2888
Entity
Organization

Contact information

Practice address
2121 NW 40TH TER, STE B, GAINESVILLE, FL 32605-3570
(352) 336-2888
(352) 371-1730
Mailing address
2121 NW 40TH TER, STE B, GAINESVILLE, FL 32605-3570
(352) 336-2888
(352) 371-1730

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40173
BCBS
FL
Enumeration date
01/19/2006
Last updated
08/31/2010
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