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GAINESVILLE PSYCHIATRY AND FORENSIC SERVICES L.L.C. NPI 1295756385


NPI Information

NPI: 1295756385
Provider Name: GAINESVILLE PSYCHIATRY AND FORENSIC SERVICES L.L.C.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 10D2040276

Address:
1103 SW 2ND AVE
GAINESVILLE, FL
ZIP 32601
Phone: (352) 378-9116
Get Directions

GAINESVILLE PSYCHIATRY AND FORENSIC SERVICES L.L.C. is a mental health (including community mental health center) clinic center in Gainesville, FL. GAINESVILLE PSYCHIATRY AND FORENSIC SERVICES L.L.C. NPI is 1295756385. The provider is registered as an organization entity type.

The provider's business location address is:

1103 SW 2ND AVE
GAINESVILLE, FL
ZIP 32601
Phone: (352) 378-9116
Fax: (352) 378-9779

The provider's authorized official is Victoria Ozoemezinem Adu .
The authorized official title is Business Manager and has the following contact phone number (352) 378-9116.

The CLIA number assigned to this NPI record is 10D2040276 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 8/6/2018.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)ME84024FLORIDAYes

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
1024658500MEDICAIDFLORIDA

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

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