Healthcare Provider Details

I. General information

NPI: 1861001414
Provider Name (Legal Business Name): PRIMARY MEDICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2020
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SE MAGNOLIA EXT STE 204
OCALA FL
34471-4461
US

IV. Provider business mailing address

1500 SE MAGNOLIA EXT STE 204
OCALA FL
34471-4461
US

V. Phone/Fax

Practice location:
  • Phone: 352-789-5047
  • Fax: 352-574-6424
Mailing address:
  • Phone: 352-789-5047
  • Fax: 352-574-6424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALFONSO E MARTINEZ
Title or Position: OWNER
Credential: MD
Phone: 787-342-7741