Florida Clinical Practice Association Inc is a primary clinic (Family Medicine) in Old Town, Florida. The current practice location for Florida Clinical Practice Association Inc is 25827 Se Highway 19, Old Town, Florida. For appointments, you can reach them via phone at
(352) 265-7922. The mailing address for Florida Clinical Practice Association Inc is Po Box 13833, Philadelphia, Pennsylvania and phone number is () -.
Florida Clinical Practice Association Inc is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1629138292. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(352) 265-7922.
Primary Care Clinic Profile
| Full Name | Florida Clinical Practice Association Inc |
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| Speciality | Family Medicine |
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| Location | 25827 Se Highway 19, Old Town, Florida |
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| Authorized Official Name and Position | William W Tharp (EXECUTIVE VICE PRESIDENT) |
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| Authorized Official Contact | 3522658017 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Florida Clinical Practice Association Inc
Po Box 13833
Philadelphia
PA 19101-3833
Ph: () - | Florida Clinical Practice Association Inc
25827 Se Highway 19
Old Town
FL 32680-3997
Ph: (352) 265-7922 |
NPI Details:
| NPI Number | 1629138292 |
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| Provider Enumeration Date | 12/12/2006 |
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| Last Update Date | 12/28/2015 |
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Medical Identifiers
Medical identifiers for Florida Clinical Practice Association Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629138292 | NPI | - | NPPES |
| 053386614 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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