Organization
OCALA LUNG & CRITICAL CARE ASSOCATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PURUSHOTTAM MITRA M.D. (DR.)
(352) 732-5552
Entity
Organization
Contact information
Practice address
1834 SW 1ST AVE, SUITE 101, OCALA, FL 34471-8101
(352) 732-5552
(352) 732-1131
Mailing address
1834 SW 1ST AVE, SUITE 101, OCALA, FL 34471-8101
(352) 732-5552
(352) 732-1131
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38817
BC/BS
FL
Enumeration date
05/03/2006
Last updated
04/05/2011
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