Organization
PEDIATRIC ASSOCIATES OF OCALA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE H. KRAUT M.D. (OWNER)
(352) 369-8700
Entity
Organization
Contact information
Practice address
2725 S.E. MARICAMP ROAD, OCALA, FL 34471
(352) 369-8700
(352) 369-8703
Mailing address
2725 SE MARICAMP ROAD, OCALA, FL 34471
(352) 369-8700
(352) 369-8703
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
253667600
MEDICAID PAYOR ID
FL
05
—
253667600
—
FL
Enumeration date
05/19/2008
Last updated
05/18/2012
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