Organization
MUNROE REGIONAL HEALTH SYSTEM INC
Active
Other names
Munroe Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MUTARELLI (EXECUTIVE VICE PRESIDENT CFO)
(352) 351-7200
Entity
Organization
Contact information
Practice address
1511 SW 1ST AVE, OCALA, FL 34471-6505
(352) 867-8311
(352) 867-1053
Mailing address
PO BOX 3130, OCALA, FL 34478-3130
(352) 867-8311
(352) 867-1053
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281125100
—
FL
01
—
33016
BCBS OF FL
FL
Enumeration date
03/24/2008
Last updated
08/25/2010
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