Healthcare Provider Details

I. General information

NPI: 1336882711
Provider Name (Legal Business Name): FLORIDA HEALTH PROFESSIONS ASSOCIATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1600 SW ARCHER RD RM G901
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

PO BOX 13833
PHILADELPHIA PA
19101-3833
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-0294
  • Fax: 352-627-4889
Mailing address:
  • Phone: 352-265-7922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

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