Healthcare Provider Details

I. General information

NPI: 1326722802
Provider Name (Legal Business Name): UF HEALTH ACO GAINESVILLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 06/14/2023
Certification Date: 06/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

PO BOX 100327
GAINESVILLE FL
32610-0327
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-7722
  • Fax:
Mailing address:
  • Phone: 352-265-7722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVEN SCOTT SUMNER
Title or Position: CFO - COLLEGE OF MEDICINE
Credential:
Phone: 352-265-7722