Healthcare Provider Details

I. General information

NPI: 1093154288
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF NORTH FLORIDA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2013
Last Update Date: 06/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 NW 13TH ST
GAINESVILLE FL
32601-4140
US

IV. Provider business mailing address

3850 BEACH BLVD
JACKSONVILLE FL
32207-4757
US

V. Phone/Fax

Practice location:
  • Phone: 352-377-0881
  • Fax: 352-374-6823
Mailing address:
  • Phone: 904-399-2800
  • Fax: 904-399-2525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: RICK ROBBINS
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 904-399-2800