Organization
FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Active
Parent organization
FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Authorized official
JEREMY SIBISKI (EXECUTIVE DIRECTOR OF FIN & ADMIN)
(352) 265-8017
Entity
Organization
Contact information
Practice address
10435 SE 170TH PL, SUMMERFIELD, FL 34491-8998
(352) 259-5658
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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