| Ocala Infectious Disease And Wound Center, Inc | |
|
321 Se 29th Pl Suite 101 Ocala FL 34471-0489 | |
| (352) 401-7552 | |
| (352) 622-7945 |
| Full Name | Ocala Infectious Disease And Wound Center, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 321 Se 29th Pl, Ocala, Florida |
| Authorized Official Name and Position | Haris Inam Mirza (PRESIDENT) |
| Authorized Official Contact | 3524017552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocala Infectious Disease And Wound Center, Inc Po Box 5580 Ocala FL 34478-5580 Ph: (352) 401-7552 | Ocala Infectious Disease And Wound Center, Inc 321 Se 29th Pl Suite 101 Ocala FL 34471-0489 Ph: (352) 401-7552 |
| NPI Number | 1093911935 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 03/07/2014 |
| Medicare PECOS PAC ID | 9234158296 |
|---|---|
| Medicare Enrollment ID | O20051118000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093911935 | NPI | - | NPPES |
| 267672900 | Medicaid | FL | |
| K8951 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME88195 (Florida) | Primary |
| Provider Name | Mahmoud Sallah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487630604 PECOS PAC ID: 1153399753 Enrollment ID: I20040921001332 |
| Provider Name | Kevin P Noon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407893571 PECOS PAC ID: 8820048937 Enrollment ID: I20050318000260 |
| Provider Name | Haris I Mirza |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912956335 PECOS PAC ID: 5597784553 Enrollment ID: I20051121000473 |
| Provider Name | Joseph W Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316015423 PECOS PAC ID: 0941202584 Enrollment ID: I20070209000478 |
| Provider Name | Angela Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598823486 PECOS PAC ID: 4385742287 Enrollment ID: I20070530000513 |
| Provider Name | Rangaswamy Asokan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225032006 PECOS PAC ID: 5991731986 Enrollment ID: I20100927000840 |
| Provider Name | Anne Lauren Mirza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538419890 PECOS PAC ID: 0840449195 Enrollment ID: I20121002000804 |
| Provider Name | Michael L Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356607196 PECOS PAC ID: 1355581471 Enrollment ID: I20130712000074 |
| Provider Name | Mylyssia Applegate Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548676760 PECOS PAC ID: 0345468880 Enrollment ID: I20140826001116 |
| Provider Name | Christine Truschka Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841672342 PECOS PAC ID: 8527374594 Enrollment ID: I20150908000065 |
| Provider Name | Cerilien Lamy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124493689 PECOS PAC ID: 9234436940 Enrollment ID: I20160323002626 |
| Provider Name | Amber L Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295192375 PECOS PAC ID: 7416255716 Enrollment ID: I20160420001279 |
| Provider Name | Brian Christopher Carbonell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407388762 PECOS PAC ID: 2163799743 Enrollment ID: I20170602000684 |
| Provider Name | Aneta Tarasiuk-rusek |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851655047 PECOS PAC ID: 8527369628 Enrollment ID: I20170612000824 |
| Provider Name | Megan Marie Lefebvre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104341346 PECOS PAC ID: 4880960905 Enrollment ID: I20171017003485 |
| Provider Name | Toni Lynette Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851808190 PECOS PAC ID: 2860757747 Enrollment ID: I20180523002804 |
| Provider Name | Heather Poppell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184281057 PECOS PAC ID: 7618204058 Enrollment ID: I20190808001385 |
| Provider Name | Anne Marie Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437797701 PECOS PAC ID: 3678987179 Enrollment ID: I20210125001030 |
| Provider Name | Vanessa Julie Trovela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447963749 PECOS PAC ID: 8325401409 Enrollment ID: I20230823002111 |
Siva Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2845 Se 3rd Ct, Ocala, FL 34471 Phone: 352-369-5300 Fax: 352-369-5309 | |
Central Florida Heart Group P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6600 Sw Hwy 200, Suite 300, Ocala, FL 34476 Phone: 352-237-4116 Fax: 352-237-1785 | |
Munroe Professional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1511 Sw 1st Ave, Ocala, FL 34471 Phone: 352-867-8311 Fax: 352-867-1053 | |
Integrative Health Care And Physical Medicine Ocala Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3256 S Pine Ave Ste 301, Ocala, FL 34471 Phone: 352-369-6325 Fax: 352-369-6329 | |
Poonam Warman M D P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 Se Magnolia Ext Ste 202, Ocala, FL 34471 Phone: 352-369-6139 | |
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 | |
Ocala Innovative Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5481 Sw 60th St, Unit 302, Ocala, FL 34474 Phone: 352-840-0444 |