Provider Demographics
NPI:1376970731
Name:ACCENT PHYSICIAN SPECIALISTS, P.A.
Entity Type:Organization
Organization Name:ACCENT PHYSICIAN SPECIALISTS, P.A.
Other - Org Name:ACCENT PHYSICIAN SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:DOCKENEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-372-9414
Mailing Address - Street 1:4340 NEWBERRY RD.
Mailing Address - Street 2:SUITE 301
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2557
Mailing Address - Country:US
Mailing Address - Phone:352-372-9414
Mailing Address - Fax:352-271-5393
Practice Address - Street 1:2086 SW MAIN BLVD STE 103
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-0006
Practice Address - Country:US
Practice Address - Phone:352-372-9414
Practice Address - Fax:352-271-5393
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCENT PHYSICIAN SPECIALISTS, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-01
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Multi-Specialty