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ALLIANCE FAMILY PHYSICIANS PA NPI 1245289206


NPI Information

NPI: 1245289206
Provider Name: ALLIANCE FAMILY PHYSICIANS, PA
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

CLIA Number: 10D0705757

Address:
4611 NW 53RD AVE
GAINESVILLE, FL
ZIP 32653
Phone: (352) 371-0301
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ALLIANCE FAMILY PHYSICIANS, PA is an adult medicine family medicine in Gainesville, FL. The provider is definition to come. ALLIANCE FAMILY PHYSICIANS, PA NPI is 1245289206. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4611 NW 53RD AVE
GAINESVILLE, FL
ZIP 32653-898
Phone: (352) 371-0301
Fax: (352) 371-4635

The provider's authorized official is Bruce K Branin .
The authorized official title is President and has the following contact phone number (352) 371-0301.

The CLIA number assigned to this NPI record is 10D0705757 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 10/6/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult MedicineOS0007386FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
134601OTHERFLORIDABLUE CROSS GROUP NUMBER
2B40661MEDICARE UPIN
333441BMEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.