Provider Demographics
NPI:1689633976
Name:UNIVERSITY OF FLORIDA
Entity Type:Organization
Organization Name:UNIVERSITY OF FLORIDA
Other - Org Name:UNIVERSITY OF FLORIDA SPEECH & HEARING CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIR OF DEPARTMENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAPIENZA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:352-392-2113
Mailing Address - Street 1:435 DAUER HALL
Mailing Address - Street 2:BOX 117420
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32611-7420
Mailing Address - Country:US
Mailing Address - Phone:352-392-2041
Mailing Address - Fax:352-846-2189
Practice Address - Street 1:435 DAUER HALL
Practice Address - Street 2:BOX 117420
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32611-7420
Practice Address - Country:US
Practice Address - Phone:352-392-2041
Practice Address - Fax:352-846-2189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT0699OtherBCBS
FLK8608Medicare ID - Type Unspecified