Center for Independent Living of North Central Florida

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

CENTER FOR INDEPENDENT LIVING OF NORTH CENTRAL FLORIDA

Practice address

222 SW 36TH Ter
Gainesville, FL 32607-2863

Phone

(352) 378-7474

Fax

(352) 378-5582

NPI assigned

Aug 2, 2012

Organization subpart

No

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

Authorized official

Name

Mr. William D. Kennedy III, MHS

Title

Ceo

Phone

(352) 378-7474

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Transitional Living of NCF, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1801142393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SW 36TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072863",
            "telephone_number": "352-378-7474",
            "fax_number": "352-378-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SW 36TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072863",
            "telephone_number": "352-378-7474",
            "fax_number": "352-378-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INDEPENDENT LIVING OF NORTH CENTRAL FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-378-7474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MHS"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003148100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transitional Living of NCF, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alexis Cedeno, DO
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• Celebrate Primary Care
• Preston Celico
• Centerwell Health Services (Certified), Inc.
• Zachary Luis Cepparo
• Danielle A Cerbon
• Katherine F Cerchio
• Anthony Lee Cere, PT, DPT, MTC

• Voluntary or Charitable Agency in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Voluntary or Charitable Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.