Basic Information
| Provider Information | |||||||||
| NPI: | 1457354300 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SURGERY CENTER OF OCALA LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3241 SW 34TH ST | ||||||||
| Address2: | |||||||||
| City: | OCALA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344747439 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3522375906 | ||||||||
| FaxNumber: | 3522375785 | ||||||||
| Practice Location | |||||||||
| Address1: | 3241 SW 34TH ST | ||||||||
| Address2: | |||||||||
| City: | OCALA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344747439 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3522375906 | ||||||||
| FaxNumber: | 3522375785 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2005 | ||||||||
| LastUpdateDate: | 12/19/2007 | ||||||||
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| AuthorizedOfficialLastName: | GUARINO | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
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| AuthorizedOfficialTitleorPosition: | ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 3522375906 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA1903X | FL | Y | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |
No ID Information.