Organization
FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Active
Other names
UF Pediatrics North Central Early Steps
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY SIBISKI (EXECUTIVE VICE PRESIDENT)
(352) 265-8017
Entity
Organization
Contact information
Practice address
1600 SW ARCHER RD, RM HD-119 (EARLY STEPS), GAINESVILLE, FL 32610-0296
(352) 334-1499
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
(352) 265-7213
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008623500
—
FL
05
—
053386601
—
FL
Enumeration date
07/03/2014
Last updated
07/19/2016
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