Healthcare Provider Details

I. General information

NPI: 1922053362
Provider Name (Legal Business Name): OCALA FAMILY CARE P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 SW 46TH CT BLDG 200 SUITE 210
OCALA FL
34474-5752
US

IV. Provider business mailing address

4600 SW 46TH CT BLDG 200 SUITE 210
OCALA FL
34474-5752
US

V. Phone/Fax

Practice location:
  • Phone: 352-861-1533
  • Fax: 352-861-1562
Mailing address:
  • Phone: 352-861-1533
  • Fax: 352-861-1562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RAJNIKANT B PATEL
Title or Position: OWNER
Credential: MD
Phone: 352-861-1533