MEDICARE: FLORIDA CLINICAL PRACTICE ASSOCIATION INC

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
1	291U00000X	Clinical Medical Laboratory

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	690003337	OTHER	FL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326108903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA CLINICAL PRACTICE ASSOCIATION INC

Provider Business Mailing Address
First Line	:	PO BOX 109401
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30348-8401
Country	:	US
Telephone Number	:	352-265-7922
Fax Number	:

Provider Business Practice Location Address
First Line	:	4800 SW 35TH DR
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-7686
Country	:	US
Telephone Number	:	352-265-7922
Fax Number	:

Authorized Official
Title or Position	:	CEO UFP
Name	:	MARVIN A. DEWAR
Credential	:
Telephone Number	:	352-265-8309

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	05/08/2026

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Directions to “FLORIDA CLINICAL PRACTICE ASSOCIATION INC ” Practice Location

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