UNIVERSITY OF FLORIDA COLLEGE OF NURSING FACULTY PRACTICE ASSOCIATI NPI 1578554572

NPI Information

UNIVERSITY OF FLORIDA COLLEGE OF NURSING FACULTY PRACTICE ASSOCIATI is a primary care nurse practitioner in Archer, FL. UNIVERSITY OF FLORIDA COLLEGE OF NURSING FACULTY PRACTICE ASSOCIATI NPI is 1578554572. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16939 SW 134TH AVE
ARCHER, FL
ZIP 32618-413
Phone: (352) 495-2550
Fax: (352) 495-3401

The provider's authorized official is Joan Newell-walker .
The authorized official title is Office Manager and has the following contact phone number (352) 495-2550.

The CLIA number assigned to this NPI record is 10D2117673 - mobile lab with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/31/2005 and was last updated on 9/20/2012.

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:

Other Identifiers

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

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