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is Licensed or Credentialed. For more information please refer to
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FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Organization Subpart: NO
NPI: 1326108903
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Last Updated: | 2020-10-18 | ||
Certification Date: | 2020-10-18 |
Details
Name | Value | ||||||||||||
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NPI | 1326108903 | ||||||||||||
Enumeration Date | 2006-12-12 | ||||||||||||
NPI Type | 2- Organization | ||||||||||||
Status | Active | ||||||||||||
Authorized Official Information |
Name:
JEREMY
SIBISKI
Title: EXECUTIVE DIR OF FINANCE AND ADMIN Phone: 352-265-8017 |
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Mailing Address |
PO BOX 13833
PHILADELPHIA, PA 19101-3833 United States Phone: 352-265-7922 | Fax: View Map ![]() |
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Primary Practice Address |
4800 SW 35TH DR
GAINESVILLE, FL 32608-7686 United States Phone: 352-265-7922 | Fax: View Map ![]() |
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