Organization
INTERNAL MEDICINE ASSOCIATES OF OCALA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUCHAKULLA N REDDY M.D. (PRESIDENT)
(352) 732-9844
Entity
Organization
Contact information
Practice address
1623 SW 1ST AVE, OCALA, FL 34471-6528
(352) 732-9844
(352) 732-6787
Mailing address
1623 SW 1ST AVE, OCALA, FL 34471-6528
(352) 732-9844
(352) 732-6787
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2735105 00
—
FL
01
—
610335900
FEDERAL BLACK LUNG
FL
01
—
94988
BCBS OF FL
FL
01
—
DD7923
MEDICARE RAILROAD
FL
Enumeration date
09/02/2005
Last updated
03/06/2012
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