| Alliance Family Physicians, Pa | |
|
4611 Nw 53rd Ave Gainesville FL 32653-4898 | |
| (352) 371-0301 | |
| (352) 371-4635 |
| Full Name | Alliance Family Physicians, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4611 Nw 53rd Ave, Gainesville, Florida |
| Authorized Official Name and Position | Bruce K Branin (PRESIDENT) |
| Authorized Official Contact | 3523710301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Family Physicians, Pa 4611 Nw 53rd Ave Gainesville FL 32653-4898 Ph: (352) 371-0301 | Alliance Family Physicians, Pa 4611 Nw 53rd Ave Gainesville FL 32653-4898 Ph: (352) 371-0301 |
| NPI Number | 1245289206 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 10/06/2010 |
| Medicare PECOS PAC ID | 9739076209 |
|---|---|
| Medicare Enrollment ID | O20040301000321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245289206 | NPI | - | NPPES |
| 34601 | Other | FL | BLUE CROSS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | OS0007386 (Florida) | Primary |
| Provider Name | Bruce K Branin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144435785 PECOS PAC ID: 0446147920 Enrollment ID: I20101110001488 |
| Provider Name | Tammy J Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285877258 PECOS PAC ID: 0749467959 Enrollment ID: I20110615000291 |
| Provider Name | Teresa M Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457703183 PECOS PAC ID: 0648557405 Enrollment ID: I20170503001821 |
| Provider Name | Jack M Goloff |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1619125390 PECOS PAC ID: 9436396694 Enrollment ID: I20230525002564 |
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