NPIMap

Organization Active NPI

Alliance Family Physicians, PA

  • Adult Medicine Physician
  • Gainesville, FL
National Provider Identifier
1245289206
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
OS0007386 Issued in FL
Legal business name
ALLIANCE FAMILY PHYSICIANS, PA
Practice address
817 NW 56TH Ter Ste C
Gainesville, FL 32605-6401
Phone
(352) 234-3050
NPI assigned
May 8, 2006
Last updated
Nov 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stefan Mann, MDNPI 1356847388
Title
President
Phone
(352) 234-3050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X OS0007386 FL Primary

Addresses

Primary practice location

817 NW 56TH Ter Ste C
Gainesville, FL 32605-6401

Mailing address

817 NW 56TH Ter Ste C
Gainesville, FL 32605-6401
Phone (352) 234-3050

Other identifiers 1

IdentifierTypeStateIssuer
34601OtherFLBLUE CROSS GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040301000321 FL Part B Supplier - Clinic/Group Practice 9739076209 Receives reassigned benefits from 81 practitioners
Practice locations: Gainesville, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0705757Alliance Family Physicians PA817 NW 56TH Terrace Suite C, Gainesville, FL 32605Certificate of waiverNov 30, 2027

National Provider Directory

National Provider Directory

Locations

4011 NW 43rd St
Ste B
Gainesville, FL 32606
Phone (352) 283-0605

4611 NW 53rd Ave
Ste A
Gainesville, FL 32653
Phone (352) 371-0301

817 NW 56th Ter
Ste C
Gainesville, FL 32605

Practitioners & affiliated clinicians

Practitioners 86

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 86

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1245289206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 NW 56TH TER STE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056401",
            "telephone_number": "352-234-3050",
            "fax_number": "352-553-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 NW 56TH TER STE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056401",
            "telephone_number": "352-234-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE FAMILY PHYSICIANS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-234-3050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "OS0007386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "34601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.