Healthcare Provider Details

I. General information

NPI: 1558355057
Provider Name (Legal Business Name): MUNROE REGIONAL HEALTH SYSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 09/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 SE 24TH ST
OCALA FL
34471-5362
US

IV. Provider business mailing address

324 SE 24TH ST
OCALA FL
34471-5362
US

V. Phone/Fax

Practice location:
  • Phone: 352-351-7327
  • Fax: 352-351-7336
Mailing address:
  • Phone: 352-351-7327
  • Fax: 352-351-7336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: RICHARD D MUTARELLI
Title or Position: EXECUTIVE VICE PRESIDENT/CFO
Credential:
Phone: 352-351-7327