Healthcare Provider Details

I. General information

NPI: 1659314433
Provider Name (Legal Business Name): OCALA CARDIOVASCULAR ANESTHESIA ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 08/25/2020
Certification Date: 08/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SW 1ST AVE
OCALA FL
34471-6504
US

IV. Provider business mailing address

150 SE 17TH ST STE 503
OCALA FL
34471-5176
US

V. Phone/Fax

Practice location:
  • Phone: 352-433-2825
  • Fax: 352-433-2893
Mailing address:
  • Phone: 352-433-2825
  • Fax: 352-433-2893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: VINCENT C. PALMIRE
Title or Position: MD
Credential:
Phone: 352-433-2825