# OCALA HEALTH SURGICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OCALA HEALTH SURGICAL GROUP LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902568728
- **Legal business name:** OCALA HEALTH SURGICAL GROUP LLC
- **Authorized official:** WILLIAM TEDRICK JOHNSON (VICE PRESIDENT)
- **Authorized official phone:** (615) 372-3375

## Contact information

- **Practice address:** 1511 SW 1ST AVE \# 2, OCALA, FL 34471-6505
- **Practice address phone:** (352) 351-1022
- **Mailing address:** 2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
- **Mailing address phone:** (615) 372-5426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2021
- **Last updated:** 10/08/2021