Provider Demographics
NPI:1629158290
Name:MCAULIFFE, PRISCILLA FRANCES (MD PHD)
Entity Type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:FRANCES
Last Name:MCAULIFFE
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 SOUTHWEST ARCHER ROAD
Mailing Address - Street 2:DEPARTMENT OF SURGERY UF COLLEGE OF MEDICINE
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610
Mailing Address - Country:US
Mailing Address - Phone:352-265-0604
Mailing Address - Fax:352-265-3292
Practice Address - Street 1:1600 SOUTHWEST ARCHER ROAD
Practice Address - Street 2:DEPARTMENT OF SURGERY UF COLLEGE OF MEDICINE
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610
Practice Address - Country:US
Practice Address - Phone:352-265-0604
Practice Address - Fax:352-265-3292
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-08-16
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-08-16
Provider Licenses
StateLicense IDTaxonomies
FLME88583208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery