Organization
UNIVERSITY OF FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE BLACK (PROGRAM DIRECTOR)
(352) 273-9001
Entity
Organization
Contact information
Practice address
1600 SW ARCHER RD, B100296, ROOM HD-513, GAINESVILLE, FL 32610-3003
(352) 273-8234
Mailing address
1600 SW ARCHER RD, B100296, ROOM HD-513, GAINESVILLE, FL 32610-3003
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
TRN19338
FL
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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