Provider Type Icon

FLORIDA CLINICAL PRACTICE ASSOCIATION INC NPI 1629138292


NPI Information

NPI: 1629138292
Provider Name: FLORIDA CLINICAL PRACTICE ASSOCIATION INC

Doing Business As: UF HEALTH FAMILY MEDICINE - OLD TOWN

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D0895348

Address:
25827 SE HIGHWAY 19
OLD TOWN, FL
ZIP 32680
Phone: (352) 265-7922
Get Directions

FLORIDA CLINICAL PRACTICE ASSOCIATION INC is a family medicine in Old Town, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FLORIDA CLINICAL PRACTICE ASSOCIATION INC NPI is 1629138292. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Uf Health Family Medicine - Old Town.

The provider's business location address is:

25827 SE HIGHWAY 19
OLD TOWN, FL
ZIP 32680-997
Phone: (352) 265-7922

The provider's authorized official is William W Tharp .
The authorized official title is Executive Vice President and has the following contact phone number (352) 265-8017.

The CLIA number assigned to this NPI record is 10D0895348 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/12/2006 and was last updated on 12/28/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4207Q00000XFamily MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1053386614MEDICAIDFLORIDA

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: 5/5/2024

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.