Organization
AMERICAN FAMILY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LUCIOUS OLIVER DO (PRESIDENT)
(352) 351-4634
Entity
Organization
Contact information
Practice address
1750 SE 28TH LOOP, OCALA, FL 34471-1080
(352) 351-4634
(352) 351-1900
Mailing address
1750 SE 28TH LOOP, OCALA, FL 34471-1080
(352) 351-4634
(352) 351-1900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7024
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57170
OTHER
FL
Enumeration date
06/17/2008
Last updated
11/16/2012
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