Organization
FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY SIBISKI (EXECUTIVE DIRECTOR OF FINANCE)
(352) 265-8017
Entity
Organization
Contact information
Practice address
1600 SW ARCHER RD, 1ST FLOOR, ROOM 1097, GAINESVILLE, FL 32608-0265
(352) 273-9000
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
—
0617280003
MEDICARE DME
—
Enumeration date
11/14/2013
Last updated
12/14/2020
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