Organization
INFECTIOUS DISEASES SPECIALTY ASSOCIATES PLLC
Active
Organization
INFECTIOUS DISEASES SPECIALTY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTENEH M. ADDISU MP, PHD (PRESIDENT)
(352) 362-6104
Entity
Organization
Contact information
Practice address
150 SE 17TH ST STE 801, OCALA, FL 34471
(352) 362-6104
Mailing address
PO BOX 3716, OCALA, FL 34478-3716
(352) 362-6104
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME75316
FL
Other
Enumeration date
05/18/2018
Last updated
08/24/2018
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