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Organization

WILLIAM A TRICE MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM ADAMSON TRICE MD (PRESIDENT)
(352) 732-5211
Entity
Organization

Contact information

Practice address
2723 SE MARICAMP RD, OCALA, FL 34471-5537
(352) 732-5211
(352) 629-5391
Mailing address
2723 SE MARICAMP RD, OCALA, FL 34471-5537
(352) 732-5211
(352) 629-5391

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME0025927
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1093797714
NPI - SOLE PROPRIETOR
FL
01
78906
PTAN
FL
01
ME0025927
FL LICENSE
FL
Enumeration date
10/22/2008
Last updated
12/31/2008
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