Organization
NINA M. HARE D.O.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NINA MARLENE HARE D.O. (PRESIDENT)
(352) 620-2200
Entity
Organization
Contact information
Practice address
2631 SE LAKE WEIR AVE, OCALA, FL 34471-6720
(352) 620-2200
(352) 620-8384
Mailing address
2631 SE LAKE WEIR AVE, OCALA, FL 34471-6720
(352) 620-2200
(352) 620-8384
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
OS 5740
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061794600
—
FL
Enumeration date
11/17/2010
Last updated
11/17/2010
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