# PHYSICIAN PARTNERS SPECIALTY SERVICES, LLC

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

## Provider details

- **NPI number:** 1356688899
- **Authorized official:** SRIRAM SUNDARAMOORTHY (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (813) 444-5838

## Contact information

- **Practice address:** 1714 SW 17TH ST, OCALA, FL 34471-1223
- **Practice address phone:** (352) 274-9900
- **Practice address fax:** (352) 261-0816
- **Mailing address:** 1714 SW 17TH ST, OCALA, FL 34471-1227
- **Mailing address phone:** (352) 274-9455
- **Mailing address fax:** (877) 405-0955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |

## Other

- **Enumeration date:** 01/03/2013
- **Last updated:** 02/06/2023