Organization
COLUMBIA OCALA REGIONAL MEDICAL CENTER PHYSICIAN GROUP INC
Active
Other names
Oak Hill Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JOHANNESSEN (VP)
(727) 793-6004
Entity
Organization
Contact information
Practice address
700 SE 5TH TER, SUITE 5, CRYSTAL RIVER, FL 34429-4878
(352) 795-8815
(352) 564-1090
Mailing address
700 SE 5TH TER, SUITE 5, CRYSTAL RIVER, FL 34429-4878
(352) 795-8815
(352) 564-1090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00646524
RAILROAD MEDICARE
FL
Enumeration date
12/20/2006
Last updated
02/10/2009
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