Healthcare Provider Details
I. General information
NPI: 1891008371
Provider Name (Legal Business Name): MEDICAL ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/26/2010
Last Update Date: 12/08/2020
Certification Date: 12/08/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10238 SW 86TH CIR STE 200 & 300
OCALA FL
34481-7625
US
IV. Provider business mailing address
10238 SW 86TH CIR STE 200
OCALA FL
34481-7625
US
V. Phone/Fax
- Phone: 352-873-1010
- Fax: 352-873-4387
- Phone: 352-873-1010
- Fax: 352-873-4387
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QG0300X |
| Taxonomy | Geriatric Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SRINIVAS
M
MURTHY
Title or Position: OWNER
Credential: MD
Phone: 352-873-1010