Provider Demographics
NPI:1306192778
Name:UNIVERSITY OF FLORIDA
Entity type:Organization
Organization Name:UNIVERSITY OF FLORIDA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLLMER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA-D
Authorized Official - Phone:352-273-2179
Mailing Address - Street 1:PO BOX 112250
Mailing Address - Street 2:UNIVERSITY OF FLORIDA
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32611-2250
Mailing Address - Country:US
Mailing Address - Phone:352-273-2184
Mailing Address - Fax:352-392-4098
Practice Address - Street 1:749 CENTER DR
Practice Address - Street 2:SUITE 375
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32611-2250
Practice Address - Country:US
Practice Address - Phone:352-273-2184
Practice Address - Fax:352-392-4098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health