# AMERICAN FAMILY MEDICAL LLC

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

## Provider details

- **NPI number:** 1720248347
- **Authorized official:** DR. DAVID LUCIOUS OLIVER DO (PRESIDENT)
- **Authorized official phone:** (352) 351-4634

## Contact information

- **Practice address:** 1750 SE 28TH LOOP, OCALA, FL 34471-1080
- **Practice address phone:** (352) 351-4634
- **Practice address fax:** (352) 351-1900
- **Mailing address:** 1750 SE 28TH LOOP, OCALA, FL 34471-1080
- **Mailing address phone:** (352) 351-4634
- **Mailing address fax:** (352) 351-1900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS7024 | FL | Yes |

## Other

- **Enumeration date:** 06/17/2008
- **Last updated:** 11/16/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 57170 | OTHER | FL |