Healthcare Provider Details

I. General information

NPI: 1437095866
Provider Name (Legal Business Name): COVENANT HOSPITALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SW 1ST AVE
OCALA FL
34471-6504
US

IV. Provider business mailing address

10123 US HIGHWAY 441 STE 101
LEESBURG FL
34788-3952
US

V. Phone/Fax

Practice location:
  • Phone: 352-278-1164
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: IRENE MAYER
Title or Position: PRACTICE OWNER
Credential:
Phone: 352-278-1164