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SHANDS TEACHING HOSPITAL AND CLINICS, INC.

Ambulatory Health Care Facilities Clinic/Center Emergency Care

Provider NPI: 1801983630

Organization Information:
Organization Name:  SHANDS TEACHING HOSPITAL AND CLINICS, INC.
Organization is Subpart
Authorized Official:  EDWARD  JIMENEZ  CEO  352-733-1500

Practice Location:
922 E CALL ST  STARKE, FL 32091-3616 US
Tel: 907-368-2000  Fax: 352-733-0069

Business Mailing Address:
PO BOX 100345  GAINESVILLE, FL 32610-0345 US
Tel: 352-627-9045  Fax: --

NPI Information:
NPI: 1801983630
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QE0002XAmbulatory Health Care Facilities
Clinic/Center
Emergency Care
FL4267

Other Provider Identifiers:

IssuerNumberStateType
053365300FL05
MEDICARE RAIL ROADCF9177FL01



American Medical Association 2012 taxonomy code information

Code: 261QE0002X

Type:

Classification:



Definition:



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