Organization
PHYSICIANS FOR A COMMUNITY UNITED FOR RESEARCH AND EDUCATION LLC
Active
Other names
Ocala Community Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHYAM B PARYANI MD (PRESIDENT)
(904) 346-3338
Entity
Organization
Contact information
Practice address
3201 SW 33RD RD, OCALA, FL 34474-7459
(352) 291-2495
(352) 219-2498
Mailing address
3599 UNIVERSITY BLVD S, SUITE 1000, JACKSONVILLE, FL 32216-4252
(904) 346-3338
(904) 346-0815
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000419803
—
FL
01
—
33201
BCBS
FL
01
—
DO8891
RR MEDICARE
FL
Enumeration date
08/03/2010
Last updated
01/18/2011
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