Organization Name: | FAMILY CARE AFFILIATES OF OCALA LLC |
NPI Number: | 1598163990 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTIAN ORAEDU (MANAGING MEMBER) |
Mailing Address: | 1830 Se 18th Ave Suite #3 Ocala |
State: | FL US |
Postal Code: | 344718348 |
Phone Number: | 3526906000 |
Fax Number: | 3526906643 |
NPI Enumeration Date: | 12/17/2014 |
NPI Last Update Date: | 01/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ACN-203 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |