# OCALA HEALTH SURGICAL GROUP LLC

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

## Provider details

- **NPI number:** 1659540524
- **Authorized official:** CHUCK MEWSHAW (VP)
- **Authorized official phone:** (850) 521-2117

## Contact information

- **Practice address:** 4600 SW 46TH CT, SUITE 250, OCALA, FL 34474-5708
- **Practice address phone:** (352) 291-2400
- **Practice address fax:** (352) 291-2405
- **Mailing address:** 4600 SW 46TH CT, SUITE 250, OCALA, FL 34474-5708
- **Mailing address phone:** (352) 291-2400
- **Mailing address fax:** (352) 291-2405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2008
- **Last updated:** 01/27/2014