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Organization

UNIVERSITY OF FLORIDA COLLEGE OF NURSING FACULTY PRACTICE ASSOCIATI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LEANNE SANDERS (PRACTICE MANAGER)
(352) 265-2550
Entity
Organization

Contact information

Practice address
16939 SW 134TH AVE, ARCHER, FL 32618-5413
(352) 265-2550
(352) 627-4785
Mailing address
PO BOX 100197, 101 S. NEWELL DR, GAINESVILLE, FL 32610-0197
(352) 265-2550
(352) 627-4785

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
302718002
FL
Enumeration date
10/31/2005
Last updated
05/06/2022
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