Organization
FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM W THARP (EXECUTIVE VICE PRESIDENT)
(352) 265-8017
Entity
Organization
Contact information
Practice address
200 SW 62ND BLVD, STE A, GAINESVILLE, FL 32607-6030
(352) 265-9470
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0617280002
MEDICARE DME
—
Enumeration date
07/22/2013
Last updated
12/28/2015
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