FC Clinical Services of Florida PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FC CLINICAL SERVICES OF FLORIDA PA

Practice address

4500 Newberry Rd
Gainesville, FL 32607-2245

Phone

(352) 234-3789

NPI assigned

Jul 17, 2024

Organization subpart

No

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

Authorized official

Name

Jared Senador

Title

Authorized Official

Phone

(352) 234-3789

Specialties & licenses 1

Addresses

Other names 1

• Full Circle Doing business as

Medicare fee-for-service enrollment

Enrolled in FL, PA2 enrollments

Enrollment records 2

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie C Archibald, D.C.

  • Primary Care Nurse Practitioner
  • New York, NY
  • NPI 1851623698

  FL, PA

  Medicare reassignment NPD
• Jennifer A. Frangos, D.O.

  • Family Medicine Physician
  • Carson, CA
  • NPI 1043416696

  PA

  Medicare reassignment NPD
• Houman Javedan, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Roxbury Crossing, MA
  • NPI 1487892360

  FL, PA

  Medicare reassignment NPD
• Liang Liu

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1710372834
  NPD
• David Self, PT, DPT

  • Physical Therapist
  • Austin, TX
  • NPI 1437516838
  NPD

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1497593115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 NE 2ND AVE UNIT 530187",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331532310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072245",
            "telephone_number": "352-234-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FC CLINICAL SERVICES OF FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "SENADOR",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "352-234-3789"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Circle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Favreau
• Sarah McMillen Fayad, M.D.
• Oluwaseun Fayiga
• Shantavis Shantrell Fayson
• Brian John Fazzone, MD
• Elizabeth Ann Feagin, LCSW
• William Feagle
• Patricia Morris Fearing, MD
• Randy J. Fearing, D.C.
• David Fedele, PH.D.

• Internal Medicine Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.