Organization
OCALA PODIATRY CENTER
Active
Other names
Ocala Podiatry Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY JOHNSON (OFFICE MANAGER)
(352) 867-1155
Entity
Organization
Contact information
Practice address
2135 SW 19TH AVENUE RD, SUITE #104, OCALA, FL 34474-7874
(352) 867-1155
(352) 867-7030
Mailing address
2135 SW 19TH AVENUE RD, SUITE #104, OCALA, FL 34471-7874
(352) 867-1155
(352) 867-7030
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2144
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC8499
RR MEDICARE
FL
Enumeration date
01/09/2008
Last updated
12/08/2010
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