Healthcare Provider Details

I. General information

NPI: 1730163205
Provider Name (Legal Business Name): DAVID OCHS MPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 10/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4343 W NEWBERRY RD SUITE 4
GAINESVILLE FL
32607-2817
US

IV. Provider business mailing address

PO BOX 357279
GAINESVILLE FL
32635-7279
US

V. Phone/Fax

Practice location:
  • Phone: 352-373-6565
  • Fax: 352-373-6112
Mailing address:
  • Phone: 352-373-7984
  • Fax: 352-332-3812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT14551
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: