Healthcare Provider Details

I. General information

NPI: 1669399960
Provider Name (Legal Business Name): SHANDS TEACHING HOSPITAL AND CLINICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 SW 2ND AVE SUITE 101 UF HEALTH PAIN MANAGEMENT
GAINESVILLE FL
32601-6271
US

IV. Provider business mailing address

PO BOX 100303
GAINESVILLE FL
32610-0303
US

V. Phone/Fax

Practice location:
  • Phone: 352-733-0065
  • Fax: 352-733-0067
Mailing address:
  • Phone: 352-627-9045
  • Fax: 352-627-9049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL DAVID HOLMES
Title or Position: CEO
Credential:
Phone: 352-733-1500