Healthcare Provider Details

I. General information

NPI: 1568650695
Provider Name (Legal Business Name): HEART AND VASCULAR CARE OF OCALA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2007
Last Update Date: 10/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 SW 20TH PL
OCALA FL
34471-7734
US

IV. Provider business mailing address

2101 SW 20TH PL
OCALA FL
34471-7734
US

V. Phone/Fax

Practice location:
  • Phone: 352-622-7008
  • Fax: 352-622-4072
Mailing address:
  • Phone: 352-622-7008
  • Fax: 352-622-4072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RAKESH PRASHAD
Title or Position: PRESIDENT
Credential: M.D.
Phone: 352-622-7008