Healthcare Provider Details

I. General information

NPI: 1205834207
Provider Name (Legal Business Name): HAROLD R LOCAY M.D., P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date: 03/17/2006
Reactivation Date: 03/31/2006

III. Provider practice location address

6520 NW 9TH BLVD
GAINESVILLE FL
32605-4205
US

IV. Provider business mailing address

2980 SE 3RD CT
OCALA FL
34471-0421
US

V. Phone/Fax

Practice location:
  • Phone: 352-331-7987
  • Fax:
Mailing address:
  • Phone: 352-622-4231
  • Fax: 352-622-0513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME61963
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: