| Ocala Health Primary Care LLC | |
|
2415 Se 17th St Ocala FL 34471-2618 | |
| (850) 267-1040 | |
| Not Available |
| Full Name | Ocala Health Primary Care LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2415 Se 17th St, Ocala, Florida |
| Authorized Official Name and Position | Mickey Picker (VP) |
| Authorized Official Contact | 8502671040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocala Health Primary Care LLC 2415 Se 17th St Ocala FL 34471-2618 | Ocala Health Primary Care LLC 2415 Se 17th St Ocala FL 34471-2618 Ph: (850) 267-1040 |
| NPI Number | 1720398456 |
|---|---|
| Provider Enumeration Date | 10/15/2010 |
| Last Update Date | 10/15/2010 |
| Medicare PECOS PAC ID | 9931398120 |
|---|---|
| Medicare Enrollment ID | O20110104000321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720398456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Jose L Roman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851361745 PECOS PAC ID: 8224062708 Enrollment ID: I20050923000527 |
| Provider Name | Myra D Downing-sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497797344 PECOS PAC ID: 2860400371 Enrollment ID: I20060324000477 |
| Provider Name | Robert K Rockower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437139789 PECOS PAC ID: 3577669233 Enrollment ID: I20070426000450 |
| Provider Name | Juan V Crespo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609824879 PECOS PAC ID: 9537252929 Enrollment ID: I20070830000193 |
| Provider Name | Adrian Rivera-flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861472706 PECOS PAC ID: 9032268800 Enrollment ID: I20090527000478 |
| Provider Name | George M Benchimol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962461806 PECOS PAC ID: 1456337476 Enrollment ID: I20090605000569 |
| Provider Name | Gabriel M Umana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508836628 PECOS PAC ID: 9436291804 Enrollment ID: I20100122000513 |
| Provider Name | Frank R Fusco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750361630 PECOS PAC ID: 9436291770 Enrollment ID: I20100125000230 |
| Provider Name | Sidney E Clevinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760461974 PECOS PAC ID: 9335281484 Enrollment ID: I20100127000735 |
| Provider Name | Casandra L Slavens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548596083 PECOS PAC ID: 8820123045 Enrollment ID: I20110705000330 |
| Provider Name | Katherine M Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710229208 PECOS PAC ID: 3971745159 Enrollment ID: I20130819000386 |
| Provider Name | Martha C Aragon Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891083192 PECOS PAC ID: 6901022680 Enrollment ID: I20140801002066 |
| Provider Name | Veronica a Hardman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629580683 PECOS PAC ID: 7416204854 Enrollment ID: I20180717002492 |
| Provider Name | Michelle Double |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902393002 PECOS PAC ID: 2860742996 Enrollment ID: I20180911000698 |
| Provider Name | Yarelis Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518424498 PECOS PAC ID: 1658613641 Enrollment ID: I20190423000776 |
| Provider Name | Chey Herman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811514839 PECOS PAC ID: 1850718834 Enrollment ID: I20200908000328 |
| Provider Name | Erica Alfonsa Ongco Kardenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073118626 PECOS PAC ID: 1456766799 Enrollment ID: I20210218000488 |
| Provider Name | Mukti Aich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609038082 PECOS PAC ID: 2163692658 Enrollment ID: I20220519000801 |
| Provider Name | Richard G Lucarelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568432102 PECOS PAC ID: 5698736171 Enrollment ID: I20220531001830 |
| Provider Name | Ruby Rose Madarico Etquibal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437859865 PECOS PAC ID: 0547635864 Enrollment ID: I20230418002014 |
| Provider Name | Kathleen Morales Ortiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588143531 PECOS PAC ID: 6507224268 Enrollment ID: I20241023003700 |
| Provider Name | Joyce Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548900319 PECOS PAC ID: 1850893207 Enrollment ID: I20250905001720 |
| Provider Name | Brandy Stuart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952294654 PECOS PAC ID: 5092229427 Enrollment ID: I20251113003106 |
| Provider Name | Flavio Correa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063891281 PECOS PAC ID: 3678537701 Enrollment ID: I20260113004225 |
| Provider Name | Bethany Lynn Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871448522 PECOS PAC ID: 4082182472 Enrollment ID: I20260504007973 |
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Marion Internal Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1805 Se Lake Weir Ave, Ocala, FL 34471 Phone: 352-629-9634 Fax: 352-629-6350 |
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