Organization
KIDS HEALTH ALLIANCE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHAB EUNUS MD (CEO/MEDICAL DIRECTOR)
(352) 598-2479
Entity
Organization
Contact information
Practice address
2650 NW 2ND ST STE 100, OCALA, FL 34475-6234
(352) 237-5400
(866) 260-5182
Mailing address
7960 SW 60TH AVE STE 100, OCALA, FL 34476-6457
(352) 237-5400
(866) 260-5182
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023548300
—
FL
05
—
023548301
—
FL
01
—
103933
PTAN
—
Enumeration date
05/16/2008
Last updated
01/20/2023
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