Healthcare Provider Details

I. General information

NPI: 1184256885
Provider Name (Legal Business Name): GHRM ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2020
Last Update Date: 02/10/2020
Certification Date: 02/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2843 SE 17TH ST
OCALA FL
34471-5516
US

IV. Provider business mailing address

2843 SE 17TH ST
OCALA FL
34471-5516
US

V. Phone/Fax

Practice location:
  • Phone: 352-732-5555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. RAMY MOUSA
Title or Position: MANAGER
Credential: DDS
Phone: 352-732-5555