# KIDS HEALTH ALLIANCE PA

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

## Provider details

- **NPI number:** 1467619676
- **Authorized official:** DR. SHAHAB EUNUS MD (CEO/MEDICAL DIRECTOR)
- **Authorized official phone:** (352) 598-2479

## Contact information

- **Practice address:** 2650 NW 2ND ST STE 100, OCALA, FL 34475-6234
- **Practice address phone:** (352) 237-5400
- **Practice address fax:** (866) 260-5182
- **Mailing address:** 7960 SW 60TH AVE STE 100, OCALA, FL 34476-6457
- **Mailing address phone:** (352) 237-5400
- **Mailing address fax:** (866) 260-5182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2008
- **Last updated:** 01/20/2023