NPIMap

Organization Active NPI

Florida Clinical Practice Association Inc

  • Clinical Medical Laboratory
  • Gainesville, FL
National Provider Identifier
1326108903
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Practice address
4800 SW 35TH Dr
Gainesville, FL 32608-7686
Phone
(352) 265-7922
NPI assigned
Dec 12, 2006
Last updated
May 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
Marvin A. DewarNPI 1669489241
Title
Ceo Ufp
Phone
(352) 265-8309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4800 SW 35TH Dr
Gainesville, FL 32608-7686

Mailing address

PO Box 109401
Atlanta, GA 30348-8401
Phone (352) 265-7922

Other identifiers 2

IdentifierTypeStateIssuer
690003337OtherFLRR MEDICARE
030048900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080418000018 FL Part B Supplier - Independent Clinical Laboratory 0345146254 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Gainesville, FL; Leesburg, FL; The Villages, FL

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Salvatorer Goodwin MD33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Locations

4037 NW 86th Ter
Fl 4
Gainesville, FL 32606
Phone (352) 594-1500

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1326108903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 109401",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303488401",
            "telephone_number": "352-265-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SW 35TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326087686",
            "telephone_number": "352-265-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CLINICAL PRACTICE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "DEWAR",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO UFP",
        "authorized_official_telephone_number": "352-265-8309"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "690003337",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030048900",
            "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 May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.