Organization
OCALA HEALTH SURGICAL GROUP LLC
Active
Parent organization
OCALA HEALTH SURGICAL GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OCALA HEALTH SURGICAL GROUP LLC
Authorized official
WILLIAM TEDRICK JOHNSON (VICE PRESIDENT)
(615) 372-3375
Entity
Organization
Contact information
Practice address
1511 SW 1ST AVE, OCALA, FL 34471-6505
(352) 629-1378
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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