Healthcare Provider Details

I. General information

NPI: 1821308933
Provider Name (Legal Business Name): SKS MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2010
Last Update Date: 10/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 SE 29TH PL STE 100
OCALA FL
34471-0486
US

IV. Provider business mailing address

310 SE 29TH PL STE 100
OCALA FL
34471-0486
US

V. Phone/Fax

Practice location:
  • Phone: 352-732-6400
  • Fax: 352-671-5283
Mailing address:
  • Phone: 352-732-6400
  • Fax: 352-671-5283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME69007
License Number StateFL

VIII. Authorized Official

Name: SANJAY A PATEL
Title or Position: MANAGER
Credential: MD
Phone: 352-732-6400