Organization Active NPI

Reliant Family Practice PA

  • Preferred Provider Organization
  • Gainesville, FL
National Provider Identifier
1396037297
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
OS9641 Issued in FL
Legal business name
RELIANT FAMILY PRACTICE PA
Practice address
4408 NW 36TH Ave
Gainesville, FL 32606-7215
Phone
(352) 514-6452
Fax
(321) 600-2007
NPI assigned
May 10, 2011
Last updated
May 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Dr. Eric M Schabert, DO
Title
Owner
Phone
(352) 514-6452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X OS9641 FL Primary

Addresses

Primary practice location

4408 NW 36TH Ave
Gainesville, FL 32606-7215

Mailing address

4408 NW 36TH Ave
Gainesville, FL 32606-7215
Phone (352) 514-6452

National Provider Directory

National Provider Directory

Locations

4408 NW 36th Ave
Gainesville, FL 32606
Phone (352) 339-5848

9150 SW 49th Pl
Ste A
Gainesville, FL 32608
Phone (352) 265-0944

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1396037297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 NW 36TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067215",
            "telephone_number": "352-514-6452",
            "fax_number": "321-600-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 NW 36TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067215",
            "telephone_number": "352-514-6452",
            "fax_number": "321-600-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "SCHABERT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-514-6452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "OS9641",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.