Organization
COGENT HEALTHCARE OF OCALA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN A BROWNIE (TREASURER)
(615) 377-5630
Entity
Organization
Contact information
Practice address
1500 SW 1ST AVE, OCALA, FL 34471-6504
(352) 671-2287
(352) 671-2043
Mailing address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
(615) 377-5630
(888) 241-1404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001726300
—
FL
01
—
99762
BCBS FL
FL
Enumeration date
01/29/2007
Last updated
02/07/2011
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