| Shands Teaching Hospital And Clinics, Inc. | |
|
1600 Sw Archer Rd Gainesville FL 32610-3003 | |
| (352) 594-0827 | |
| (352) 265-1097 |
| Full Name | Shands Teaching Hospital And Clinics, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 1600 Sw Archer Rd, Gainesville, Florida |
| Authorized Official Name and Position | James Kelly (CEO) |
| Authorized Official Contact | 3527331500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shands Teaching Hospital And Clinics, Inc. Po Box 100345 Gainesville FL 32610-0345 Ph: (352) 627-9045 | Shands Teaching Hospital And Clinics, Inc. 1600 Sw Archer Rd Gainesville FL 32610-3003 Ph: (352) 594-0827 |
| NPI Number | 1821184649 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 11/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821184649 | NPI | - | NPPES |
| 062700300 | Medicaid | FL | |
| 062700305 | Medicaid | FL | |
| 278881100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4286 (Florida) | Primary |
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