Healthcare Provider Details

I. General information

NPI: 1063457273
Provider Name (Legal Business Name): ACCENT PHYSICIAN SPECIALISTS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 01/12/2023
Certification Date: 01/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4340 W NEWBERRY RD SUITE 301
GAINESVILLE FL
32607-2557
US

IV. Provider business mailing address

4340 W NEWBERRY RD SUITE 301
GAINESVILLE FL
32607-2557
US

V. Phone/Fax

Practice location:
  • Phone: 352-372-9414
  • Fax: 352-271-5393
Mailing address:
  • Phone: 352-372-9414
  • Fax: 352-271-5393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: AMBER NICHOLE DOCKENEY
Title or Position: CREDENTIALING SUPERVISOR
Credential:
Phone: 352-372-9414