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General NPI Number Information
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NPI Number | 1245289206
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Entity Type | Organization
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Legal Business Name | ALLIANCE FAMILY PHYSICIANS, PA
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 817 NW 56TH TER STE C
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City | GAINESVILLE
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State | FL
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Zip | 32605-6401
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Country | US
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Telephone | 352-234-3050
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Fax |
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Provider Business Mailing Address
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Address Line | 817 NW 56TH TER STE C
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City | GAINESVILLE
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State | FL
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Zip | 32605-6401
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Country | US
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Telephone | 352-234-3050
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Fax | 352-553-4800
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEFAN MANN
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Credential | MD
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Telephone | 352-234-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | OS0007386
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License Number State | FL
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