Organization
INFECTIOUS DISEASES ASSOCIATES OF NORTH CENTRAL FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANBALAN (MBR)
(352) 867-8805
Entity
Organization
Contact information
Practice address
3306 SW 26TH AVE, SUITE 104, OCALA, FL 34471-7856
(352) 867-8805
(352) 867-8844
Mailing address
3306 SW 26TH AVE, SUITE 104, OCALA, FL 34471-7856
(352) 867-8805
(352) 867-8844
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME95964
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP3525
RAILROAD MEDICARE
—
Enumeration date
07/06/2009
Last updated
07/07/2011
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