Provider Demographics
NPI:1851361109
Name:FLORIDA INFECTION PHYSICIANS PA
Entity Type:Organization
Organization Name:FLORIDA INFECTION PHYSICIANS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:YANCEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-375-7175
Mailing Address - Street 1:7257 NW 4TH BLVD
Mailing Address - Street 2:#43
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-1600
Mailing Address - Country:US
Mailing Address - Phone:352-375-7175
Mailing Address - Fax:949-863-6806
Practice Address - Street 1:6500 W NEWBERRY RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4309
Practice Address - Country:US
Practice Address - Phone:352-375-7175
Practice Address - Fax:949-863-6806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-26
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1851361109OtherNPI
FLCG8800OtherRAILROAD MEDICARE