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Physician Providers Group Pa
Specialist in Ocala, Florida
NPI 1396200283

Physician Providers Group Pa is a Specialist based in Lady Lake, FL. Physician Providers Group Pa practices in Ocala, FL. The NPI Number for Physician Providers Group Pa is 1396200283 and holds a License No. (Florida).

The current practice location address for Physician Providers Group Pa is 3120 Sw 27Th Ave Ste 300, Ocala, FL and can be reached out via phone at 352-344-4791 and via fax at 352-344-3822.

Location: 3120 Sw 27Th Ave Ste 300, Ocala, FL, 32158-1925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396200283
Provider Name
Physician Providers Group Pa
Credential
Provider Entity Type
Organization
Address
3120 Sw 27Th Ave Ste 300, Ocala, FL, 32158-1925
Phone Number
352-344-4791
Fax Number
352-344-3822
Provider Enumeration Date
02/05/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K4662 01 FL FL MEDICARE
34759 01 FL BLUE SHEILD PROV #
DA4473 01 FL RAILROAD MEDICARE #
institution
Provider Business Practice Location Address Details
Address
3120 Sw 27Th Ave Ste 300
City
Ocala
State
Florida
Zip
34471-8984
Phone Number
352-344-4791
Fax Number
352-344-3822
person
Provider Business Mailing Address Details
Address
3120 Sw 27Th Ave Ste 300
City
Ocala
State
Florida
Zip
34471-8984
Phone Number
352-344-4791
Fax Number
352-344-3822
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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