Basic Information
| Provider Information | |||||||||
| NPI: | 1629158290 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCAULIFFE | ||||||||
| FirstName: | PRISCILLA | ||||||||
| MiddleName: | FRANCES | ||||||||
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| Credential: | MD PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1600 SOUTHWEST ARCHER ROAD | ||||||||
| Address2: | DEPARTMENT OF SURGERY UF COLLEGE OF MEDICINE | ||||||||
| City: | GAINESVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32610 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3522650604 | ||||||||
| FaxNumber: | 3522653292 | ||||||||
| Practice Location | |||||||||
| Address1: | 1600 SOUTHWEST ARCHER ROAD | ||||||||
| Address2: | DEPARTMENT OF SURGERY UF COLLEGE OF MEDICINE | ||||||||
| City: | GAINESVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32610 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3522650604 | ||||||||
| FaxNumber: | 3522653292 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/17/2006 | ||||||||
| LastUpdateDate: | 08/16/2007 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | 07/17/2007 | ||||||||
| NPIReactivationDate: | 08/16/2007 | ||||||||
| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | ME88583 | FL | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.