Healthcare Provider Details

I. General information

NPI: 1982139697
Provider Name (Legal Business Name): CLINICAL PET OF OCALA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2017
Last Update Date: 05/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10230 SW 86TH CIR
OCALA FL
34481-7664
US

IV. Provider business mailing address

PO BOX 140970
GAINESVILLE FL
32614-0970
US

V. Phone/Fax

Practice location:
  • Phone: 352-291-0014
  • Fax: 352-291-0057
Mailing address:
  • Phone: 352-291-0014
  • Fax: 352-291-0057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GANESH ARORA
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 352-291-0014