Provider Demographics
NPI:1568686996
Name:FLORIDA HEALTH PROFESSIONALS ASSOCIATION INC
Entity Type:Organization
Organization Name:FLORIDA HEALTH PROFESSIONALS ASSOCIATION INC
Other - Org Name:UF COMMUNICATIVE DISORDERS
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:MORGAN
Authorized Official - Last Name:BIELLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-273-6143
Mailing Address - Street 1:PO BOX 100185
Mailing Address - Street 2:
Mailing Address - City:GAINSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0185
Mailing Address - Country:US
Mailing Address - Phone:352-273-6143
Mailing Address - Fax:352-273-6199
Practice Address - Street 1:1600 SW ARCHER ROAD
Practice Address - Street 2:D2-57
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-0174
Practice Address - Country:US
Practice Address - Phone:352-273-5555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL610187900Medicaid