Healthcare Provider Details

I. General information

NPI: 1568686996
Provider Name (Legal Business Name): FLORIDA HEALTH PROFESSIONALS ASSOCIATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 11/14/2022
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER ROAD D2-57
GAINESVILLE FL
32610-0174
US

IV. Provider business mailing address

PO BOX 100185
GAINSVILLE FL
32610-0185
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-5555
  • Fax:
Mailing address:
  • Phone: 352-273-6143
  • Fax: 352-273-6199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateFL

VIII. Authorized Official

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