Organization
OCALA MEDICAL AND INFECTIOUS DISEASE ASSOCIATES PA
Active
Organization
OCALA MEDICAL AND INFECTIOUS DISEASE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN I SOOSAIPILLAI M.D. (OWNER)
(352) 622-2020
Entity
Organization
Contact information
Practice address
3306 SW 26TH AVE, STE 104, OCALA, FL 34471-7856
(352) 622-2020
(352) 622-2025
Mailing address
3306 SW 26TH AVE, STE 104, OCALA, FL 34471-7856
(352) 622-2020
(352) 622-2025
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008N8
BCBS OF FLORIDA
FL
05
—
013502700
—
FL
Enumeration date
10/03/2014
Last updated
03/12/2015
Update your record
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