Organization
HEART DOCTORS OF OCALA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONYA NASSER (ADMINISTRATOR)
(352) 624-7384
Entity
Organization
Contact information
Practice address
10435 SE 170TH PL, SUMMERFIELD, FL 34491-8998
(352) 347-8063
(352) 347-6187
Mailing address
2930 SE 31ST ST, OCALA, FL 34471-6287
(352) 624-7384
(352) 624-1924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME85309
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME83972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000X4
BCBS
FL
05
—
262215700
—
FL
Enumeration date
03/08/2010
Last updated
12/16/2011
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