FLORIDA CLINICAL PRACTICE ASSOCIATION INC (NPI# 1952503567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952503567 |
| Entity Type | Organization |
| Organization Name | FLORIDA CLINICAL PRACTICE ASSOCIATION INC |
| Other Organization Name | PEDIATRIC NEONATOLOGY GROUP |
| Practice Address |
1600 Sw Archer Rd # 100296 Gainesville FL 32610-0296 |
| Mailing Address |
Po Box 13833 Philadelphia PA 19101-3833 |
| Practice Telephone | 3522738985 |
| Practice Fax Number | 3523924533 |
| Mailing Telephone | 3523924195 |
| Mailing Fax Number | 3523924533 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2016-07-19 |
| Authorized Official Name | JEREMY SIBISKI (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 3522658017 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
053386601 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 053386601 | 05 |
| Other Name | Type Code |
|---|---|
| Pediatric Neonatology Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811241870 | Florida Clinical Practice Association Inc | Clinical Medical Laboratory | 4037 Nw 86th Terr, First Floor, Gainesville, FL 32606-0000 | 2012-10-30 |
| 1871853150 | Florida Clinical Practice Association Inc | Pediatrics | 13611 Nw 1st Ln, Ste 200, Newberry, FL 32669-2664 | 2012-05-21 |
| 1508926171 | Florida Clinical Practice Association Inc | Physician Assistant | 1699 Sw 16th Ave, Bldg A, Gainesville, FL 32608-1158 | 2006-12-12 |
| 1629138292 | Florida Clinical Practice Association Inc | Pediatrics | 25827 Se Highway 19, Old Town, FL 32680-3997 | 2006-12-12 |
| 1699834267 | Florida Clinical Practice Association Inc | Pediatrics | 2846 Sw 87th Way, Suite A, Gainesville, FL 32608-9341 | 2006-12-08 |
| 1386245454 | Florida Clinical Practice Association Inc | Clinical Medical Laboratory | 4037 Nw 86th Ter, Gainesville, FL 32606-9277 | 2020-11-05 |
| 1861976516 | Florida Clinical Practice Association Inc | Durable Medical Equipment & Medical Supplies | 10435 Se 170th Pl, Summerfield, FL 34491-8998 | 2018-09-19 |
| 1992243943 | Florida Clinical Practice Association Inc | Durable Medical Equipment & Medical Supplies | 3450 Hull Rd, Gainesville, FL 32607-4144 | 2017-02-09 |
| 1669888251 | Florida Clinical Practice Association Inc | Case Management | 1600 Sw Archer Rd, Rm Hd-119 (early Steps), Gainesville, FL 32610-0296 | 2014-07-03 |
| 1902236748 | Florida Clinical Practice Association Inc | Durable Medical Equipment & Medical Supplies | 1600 Sw Archer Rd, 1st Floor, Room 1097, Gainesville, FL 32608-0265 | 2013-11-14 |
| Street Address |
1600 SW ARCHER RD # 100296 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32610-0296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475554 | Walter J Milton | Radiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2005-05-24 |
| 1104427251 | Morgan Elizabeth Gilbert | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-11-05 |
| 1598365306 | Kristin Renee Lapham | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-30 |
| 1225638174 | Leigha Fridley | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-29 |
| 1962000950 | Kelli O'shaughnessy | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-13 |
| 1053919985 | Amber Lynn Bart | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-13 |
| 1134726847 | Emily Elizabeth Farhat | Social Worker | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-06 |
| 1346847944 | Nicholas Scott Duarte | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-06 |
| 1922613231 | Trinh Nguyen | Pharmacist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-09-14 |
| 1053926501 | Annalise Deboef | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
| 1619465754 | Carlos Eduardo Vervloet Sollero | Student in an Organized Health Care Education/Training Program | 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 | 2018-04-24 |
| 1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
| 1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
| 1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
| 1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
| 1669887485 | Alejandro Jose Delgado | Dentist | 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 | 2014-07-01 |
| 1194167296 | Zain Shahid | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 | 2013-07-18 |
| Find all providers in zip 32610 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811178098 | Mohammed Rashed Shareef | Pediatrics | 5333 Sw 75th St Apt W140, Gainesville, FL 32608-7452 | 2007-11-16 |
| 1871787408 | John Alexander Holt | Pediatrics | 4148 Nw 35th St, Gainesville, FL 32605-1487 | 2007-08-27 |
| 1063655603 | Catalina Bazacliu | Pediatrics | 1600 Sw Archer Rd, Box 100371, Gainesville, FL 32610-0371 | 2009-04-13 |
| 1083752851 | Deepa Ranganathan | Pediatrics | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2007-02-02 |
| 1811073794 | James Lawrence Wynn | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-0296 | 2006-10-31 |
| 1588685374 | Willa H Drummond | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-07-21 |
| 1760403471 | David J Burchfield | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-07-21 |
| 1861433898 | Michael D Weiss | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-09 |
| 1770524829 | Sandra E Sullivan | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-09 |
| 1629016241 | Juan Carlos Roig | Pediatrics | 1600 Sw Archer Rd, Box 100371, Gainesville, FL 32610-3003 | 2006-06-04 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32610 |
Please comment or provide details below to improve the information on FLORIDA CLINICAL PRACTICE ASSOCIATION INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.