Organization
INFECTIOUS DISEASES ASSOCIATES OF NORTH CENTRAL FLORIDA LLC
Active
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
Update your record
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