FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Organization Subpart: NO
NPI: 1326108903
Last Updated: 2015-11-13
Details
| Name | Value | ||||||||||||
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| NPI | 1326108903 | ||||||||||||
| Enumeration Date | 2006-12-12 | ||||||||||||
| NPI Type | 2- Organization | ||||||||||||
| Status | Active | ||||||||||||
| 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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| Authorized Official Information |
Name:
WILLIAM
WAYNE
THARP
Title: ASSOC DEAN OF FINANCE Phone: 352-265-8017 |
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| Taxonomy |
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| Other Identifiers |
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