Healthcare Provider Details

I. General information

NPI: 1174863757
Provider Name (Legal Business Name): TOTAL PATIENT CARE OF OCALA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2013
Last Update Date: 02/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3320 SW 33RD ROAD SUITE 200
OCALA FL
34474-7427
US

IV. Provider business mailing address

3320 SW 33RD ROAD SUITE 200
OCALA FL
34474-7427
US

V. Phone/Fax

Practice location:
  • Phone: 352-512-0970
  • Fax: 352-512-0962
Mailing address:
  • Phone: 352-512-0970
  • Fax: 352-512-0962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberOS7127
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207LA0401X
TaxonomyAddiction Medicine (Anesthesiology) Physician
License NumberOS7127
License Number StateFL

VIII. Authorized Official

Name: DR. MARK B. SACHER
Title or Position: CEO
Credential: DO
Phone: 352-512-0970