# EASTSIDE MEDICAL CLINIC

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

## Provider details

- **NPI number:** 1326235102
- **Authorized official:** MICHAEL HOLLOWAY MD (OWNER)
- **Authorized official phone:** (352) 368-2148

## Contact information

- **Practice address:** 2139 NE 2ND ST STE B, OCALA, FL 34470-8264
- **Practice address phone:** (352) 368-2148
- **Practice address fax:** (352) 368-5892
- **Mailing address:** 2139 NE 2ND ST STE B, OCALA, FL 34470-8264
- **Mailing address phone:** (352) 368-2148
- **Mailing address fax:** (352) 368-5892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME89480 | FL | Yes |

## Other

- **Enumeration date:** 09/26/2007
- **Last updated:** 09/26/2007