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NPI Code Detail

MEDICARE: FLORIDA INFECTION PHYSICIANS PA

MEDICARE: FLORIDA INFECTION 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
1207RI0200XInfectious Disease Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CG8800OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11851361109OTHERNPI
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851361109
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA INFECTION PHYSICIANS PA
Provider Business Mailing Address
First Line : 7257 NW 4TH BLVD
Second Line : #43
City : GAINESVILLE
State : FL
Zip : 32607-1600
Country : US
Telephone Number : 352-375-7175
Fax Number : 949-863-6806
Provider Business Practice Location Address
First Line : 6500 W NEWBERRY RD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32605-4309
Country : US
Telephone Number : 352-375-7175
Fax Number : 949-863-6806
Authorized Official
Title or Position : PRESIDENT
Name : DR. ROBERT W YANCEY
Credential : M.D.
Telephone Number : 352-375-7175
Provider Enumeration Date : 01/26/2006
Last Update Date : 11/04/2022

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Directions to “FLORIDA INFECTION PHYSICIANS PA ” Practice Location

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