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NPI Code Detail

MEDICARE: ALLIANCE FAMILY PHYSICIANS, PA

MEDICARE: ALLIANCE FAMILY PHYSICIANS, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QA0505XAdult Medicine PhysicianOS0007386FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
134601OTHERFLBLUE CROSS GROUP NUMBER

General Provider Information

NPI Number : 1245289206
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIANCE FAMILY PHYSICIANS, PA
Provider Business Mailing Address
First Line : 817 NW 56TH TER STE C
Second Line :
City : GAINESVILLE
State : FL
Zip : 32605-6401
Country : US
Telephone Number : 352-234-3050
Fax Number : 352-553-4800
Provider Business Practice Location Address
First Line : 817 NW 56TH TER STE C
Second Line :
City : GAINESVILLE
State : FL
Zip : 32605-6401
Country : US
Telephone Number : 352-234-3050
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : STEFAN MANN
Credential : MD
Telephone Number : 352-234-3050
Provider Enumeration Date : 05/08/2006
Last Update Date : 11/25/2025

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Directions to “ALLIANCE FAMILY PHYSICIANS, PA ” Practice Location

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