Healthcare Provider Details

I. General information

NPI: 1932125556
Provider Name (Legal Business Name): FLORIDA HEALTH PROFESSIONS ASSOCIATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 11/14/2022
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD ROOM G-901
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

1225 CENTER DRIVE HPNP BUILDING, ROOM 4101
GAINESVILLE FL
32610
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-0294
  • Fax: 352-265-0096
Mailing address:
  • Phone: 352-273-6143
  • Fax: 352-273-6199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MR. ZACHARY MORGAN BIELLING
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 352-273-6143