Organization
SURGICAL SPECIALISTS OF OCALA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA BARUP (BUSINES MANAGER)
(352) 237-1212
Entity
Organization
Contact information
Practice address
1920 SW 20TH PLACE, BUILDING 100, OCALA, FL 34471-7881
(352) 237-1212
(352) 237-0066
Mailing address
1920 SW 20TH PLACE, BUILDING 100, OCALA, FL 34471-7881
(352) 237-1212
(352) 237-0066
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME59502
FL
2086S0129X
Vascular Surgery Physician
Primary
ME59502
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME59502
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251276900
—
FL
05
—
255529800
—
FL
01
—
CI7785
RAILROAD MEDICARE
FL
01
—
F69827
UPIN
FL
Enumeration date
05/17/2007
Last updated
08/11/2022
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