Healthcare Provider Details
I. General information
NPI: 1598924235
Provider Name (Legal Business Name): MARION HEART ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/06/2008
Last Update Date: 06/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9401 SW HIGHWAY 200
OCALA FL
34481-9612
US
IV. Provider business mailing address
1805 SE LAKE WEIR AVE
OCALA FL
34471-5426
US
V. Phone/Fax
- Phone: 352-867-9600
- Fax:
- Phone: 352-867-9600
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MANORANJAN
SINGH
Title or Position: PRESIDENT
Credential: MD
Phone: 352-867-9600