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Organization
OCALA HOSPITALIST GROUP P A
Active
Organization
OCALA HOSPITALIST GROUP P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCKY OR LAURA KELLEY (BILLING MANAGER)
(352) 304-5990
Entity
Organization
Contact information
Practice address
1431 SW 1ST AVE, SUITE 280, OCALA, FL 34471-6500
(352) 304-5990
(352) 304-5993
Mailing address
910 SW 1ST AVE, SUITE 201, OCALA, FL 34471-0904
(352) 304-5990
(352) 304-5993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002616400
—
FL
01
—
99267
BC/BS
—
01
—
DD8892
RAILROAD MEDICARE
FL
Enumeration date
03/27/2007
Last updated
09/26/2011
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