Provider Demographics
NPI:1336411933
Name:UNIVERSITY OF FLORIDA
Entity Type:Organization
Organization Name:UNIVERSITY OF FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DIRECTOR OF RESEARCH
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PRINDLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-392-1582
Mailing Address - Street 1:219 GRINTER HALL, PO BOX 115500
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32611-5500
Mailing Address - Country:US
Mailing Address - Phone:352-392-1582
Mailing Address - Fax:352-392-4400
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:STE 207B GRINTER HALL
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-5500
Practice Address - Country:US
Practice Address - Phone:352-392-1582
Practice Address - Fax:352-392-4400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory