# SURGICAL SPECIALISTS OF OCALA PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215144191
- **Authorized official:** TERESA BARUP (BUSINES MANAGER)
- **Authorized official phone:** (352) 237-1212

## Contact information

- **Practice address:** 1920 SW 20TH PLACE, BUILDING 100, OCALA, FL 34471-7881
- **Practice address phone:** (352) 237-1212
- **Practice address fax:** (352) 237-0066
- **Mailing address:** 1920 SW 20TH PLACE, BUILDING 100, OCALA, FL 34471-7881
- **Mailing address phone:** (352) 237-1212
- **Mailing address fax:** (352) 237-0066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | ME59502 | FL | — |
| 2086S0129X | Vascular Surgery Physician | ME59502 | FL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | ME59502 | FL | — |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 08/11/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 251276900 | — | FL |
| 05 | — | 255529800 | — | FL |
| 01 | — | CI7785 | RAILROAD MEDICARE | FL |
| 01 | — | F69827 | UPIN | FL |