Healthcare Provider Details

I. General information

NPI: 1437557766
Provider Name (Legal Business Name): GERIATRIC CARE ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2014
Last Update Date: 12/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10238 SW 86TH CIR SUITE 300
OCALA FL
34481-7626
US

IV. Provider business mailing address

10238 SW 86TH CIR SUITE 300
OCALA FL
34481-7626
US

V. Phone/Fax

Practice location:
  • Phone: 352-873-1010
  • Fax: 352-873-4387
Mailing address:
  • Phone: 352-873-1010
  • Fax: 352-873-4387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number049277
License Number StateFL

VIII. Authorized Official

Name: SRINIVASA M MURTHY
Title or Position: OWNER
Credential: M.D.
Phone: 352-873-1010