Healthcare Provider Details

I. General information

NPI: 1134784358
Provider Name (Legal Business Name): OCALA INJURY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2019
Last Update Date: 11/27/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 SW 34TH AVE STE 132
OCALA FL
34474-4438
US

IV. Provider business mailing address

2440 NE MIAMI GARDENS DR STE 101
MIAMI FL
33180-2734
US

V. Phone/Fax

Practice location:
  • Phone: 352-644-7707
  • Fax: 866-499-3741
Mailing address:
  • Phone: 305-705-0777
  • Fax: 305-705-9978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. BERNARD ALEXANDER GREAUX
Title or Position: PRESIDENT
Credential: DC
Phone: 305-705-0777