Organization
OCALA KIDNEY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZINA G PADGETT (OFFICE MANAGER)
(352) 622-4231
Entity
Organization
Contact information
Practice address
2980 SE 3RD CT, OCALA, FL 34471-0421
(352) 622-4231
(352) 622-0513
Mailing address
2980 SE 3RD CT, OCALA, FL 34471-0421
(352) 622-4231
(352) 622-0513
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060948000
—
FL
05
—
060948001
—
FL
05
—
060948002
—
FL
05
—
060948003
—
FL
01
—
97627
BLUE SHIELD FLORIDA PIN
FL
01
—
CD4677
RAILROAD MEDICARE PIN
FL
Enumeration date
06/18/2006
Last updated
08/19/2022
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