Healthcare Provider Details

I. General information

NPI: 1952848913
Provider Name (Legal Business Name): FLORIDA HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2017
Last Update Date: 10/22/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 N US HWY 441 STE 102
LADY LAKE FL
32159-3002
US

IV. Provider business mailing address

PO BOX 1867
OCALA FL
34478-1867
US

V. Phone/Fax

Practice location:
  • Phone: 352-350-2474
  • Fax: 352-350-2471
Mailing address:
  • Phone: 352-350-2474
  • Fax: 352-350-2471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: SM HAZANUZ ZAMAN
Title or Position: OWNER
Credential: MD
Phone: 352-350-2474