Organization
GRANT CENTER HOSPITAL OF OCALA INC.
Active
Other names
Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY PICKLER (VP)
(850) 663-4643
Entity
Organization
Contact information
Practice address
409 HIGH ST, CHATTAHOOCHEE, FL 32324-1303
(850) 663-4643
Mailing address
409 HIGH ST, CHATTAHOOCHEE, FL 32324-1303
(850) 663-4643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33258
BCBS OF FL
FL
Enumeration date
06/08/2006
Last updated
08/22/2020
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