Healthcare Provider Details

I. General information

NPI: 1942646146
Provider Name (Legal Business Name): ACCENT PHYSICIAN SPECIALISTS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2013
Last Update Date: 01/12/2023
Certification Date: 01/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 NW 27TH BLVD LAKEHOUSE APT. A118
GAINESVILLE FL
32606-8633
US

IV. Provider business mailing address

4340 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 TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

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